Simple Dental Pllc

NPI #1245015999 in Chantilly, Virginia

Provider Information

NPI Number: 1245015999
Entity Type: Organization
Organization Name: Simple Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2023
Last Updated: Aug 30, 2023

Practice Location

Address: 5005 WESTONE PLZ STE C
City: Chantilly
State: Virginia
ZIP Code: 20151-4207
Phone: (703) 552-8700

Authorized Official

Name: JESSICA YOO
Title: OWNER DENTIST
Phone: (703) 552-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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