Gd Va West Springfield Pllc
NPI #1235874090 in Springfield, Virginia
Provider Information
- NPI Number
- 1235874090
- Entity Type
- Organization
- Organization Name
- Gd Va West Springfield Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2022
- Last Updated
- May 4, 2022
Practice Location
- Address
- 6116 ROLLING RD STE 316
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-1512
- Phone
- (703) 451-8332
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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