US Navy

NPI #1144291121 in Carrollton, Virginia

Provider Information

NPI Number: 1144291121
Entity Type: Organization
Organization Name: US Navy
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 30, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 502 SHORELINE RD
City: Carrollton
State: Virginia
ZIP Code: 23314-3368
Phone: (917) 224-4968

Authorized Official

Name: DR. MELISSA PAIGE FRIES, D.D.S.
Title: DENTIST
Phone: (917) 224-4968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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