Gd Va Leesburg Pike Pllc

NPI #1184459828 in Vienna, Virginia

Provider Information

NPI Number: 1184459828
Entity Type: Organization
Organization Name: Gd Va Leesburg Pike Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 3, 2024
Last Updated: Sep 3, 2024

Practice Location

Address: 8150 LEESBURG PIKE STE 503
City: Vienna
State: Virginia
ZIP Code: 22182-2714
Phone: (703) 532-2020

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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