Dental Professionals of Virginia, P.c
NPI #1104253186 in Broadlands, Virginia
Provider Information
- NPI Number
- 1104253186
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Virginia, P.c
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF VIRGINIA, P.C
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 4, 2013
- Last Updated
- Jan 11, 2014
Practice Location
- Address
- 43170 SOUTHERN WALK PLZ
- Address 2
- SUITE 116
- City
- Broadlands
- State
- Virginia
- ZIP Code
- 20148-4464
- Phone
- (703) 957-7066
Authorized Official
- Name
- LINDSAY BEARDEN
- Title
- INSURANE/CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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