Oak Tree Dental LLC

NPI #1316323546 in Mc Lean, Virginia

Provider Information

NPI Number: 1316323546
Entity Type: Organization
Organization Name: Oak Tree Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 11, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 8353 GREENSBORO DR
Address 2: SUITE A & B
City: Mc Lean
State: Virginia
ZIP Code: 22102-3530
Phone: (774) 212-3828

Authorized Official

Name: KOWSHIK R VADDI, DMD
Title: OWNER/DENTIST
Phone: (774) 212-3828

Specialties & Taxonomy Codes

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

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