Northern Virginia Dental Arts PC

NPI #1154871713 in Stafford, Virginia

Provider Information

NPI Number: 1154871713
Entity Type: Organization
Organization Name: Northern Virginia Dental Arts PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 7, 2016
Last Updated: Oct 7, 2016

Practice Location

Address: 400 CORPORATE DR
Address 2: SUITE 200
City: Stafford
State: Virginia
ZIP Code: 22554-4896
Phone: (703) 291-5738

Authorized Official

Name: JOSEPH KERNER
Title: DIRECTOR
Phone: (703) 629-5847

Specialties & Taxonomy Codes

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

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