Prince William Parkway Dental PC
NPI #1154892677 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1154892677
- Entity Type
- Organization
- Organization Name
- Prince William Parkway Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 10, 2018
- Last Updated
- Dec 10, 2018
Practice Location
- Address
- 2542 PRINCE WILLIAM PKWY STE 120
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-4149
- Phone
- (770) 916-9000
Authorized Official
- Name
- DALE MAYFIELD
- Title
- PRESIDENT
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - General Practice — General Practice |
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