Gd Va Ade Pllc

NPI #1154023927 in Arlington, Virginia

Provider Information

NPI Number: 1154023927
Entity Type: Organization
Organization Name: Gd Va Ade Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2023
Last Updated: Mar 17, 2023

Practice Location

Address: 3301 FAIRFAX DR STE 54
City: Arlington
State: Virginia
ZIP Code: 22201-4426
Phone: (701) 352-5015

Authorized Official

Name: CHAD HENDRICKS
Title: CREDENTIALING
Phone: (612) 859-0444

Specialties & Taxonomy Codes

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

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