Gd Va Fairlington, Pllc

NPI #1215646161 in Arlington, Virginia

Provider Information

NPI Number: 1215646161
Entity Type: Organization
Organization Name: Gd Va Fairlington, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 18, 2022
Last Updated: Nov 18, 2022

Practice Location

Address: 4850 31ST ST S STE A
City: Arlington
State: Virginia
ZIP Code: 22206-1661
Phone: (703) 671-1001

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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