Pearly Whites Family Dental
NPI #1114357498 in Springfield, Virginia
Provider Information
- NPI Number
- 1114357498
- Entity Type
- Organization
- Organization Name
- Pearly Whites Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 22, 2013
- Last Updated
- Dec 28, 2016
Practice Location
- Address
- 7227 COMMERCE ST
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-3411
- Phone
- (703) 992-7778
Authorized Official
- Name
- AGUSTINA N MUSTAFA
- Title
- OFFICE MANAGER
- Phone
- (703) 992-7778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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