Dental One Associates South Riding PC

NPI #1265695712 in Chantilly, Virginia

Provider Information

NPI Number: 1265695712
Entity Type: Organization
Organization Name: Dental One Associates South Riding PC
Primary Specialty: Dentist
Enumeration Date: Jul 4, 2008
Last Updated: Oct 29, 2012

Practice Location

Address: 25055 RIDING PLZ
Address 2: 270
City: Chantilly
State: Virginia
ZIP Code: 20152-5917
Phone: (703) 491-4489

Authorized Official

Name: MIKE COLE
Title: INSURANCE DIRECTOR
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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