Dental Professionals of Virginia, P.c.

NPI #1215640933 in Vienna, Virginia

Provider Information

NPI Number: 1215640933
Entity Type: Organization
Organization Name: Dental Professionals of Virginia, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2022
Last Updated: Dec 27, 2022

Practice Location

Address: 120 BEULAH RD NE STE 120
City: Vienna
State: Virginia
ZIP Code: 22180-4745
Phone: (703) 938-2000

Authorized Official

Name: HILLARY THULL
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8946

Specialties & Taxonomy Codes

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

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