Life Bridge Dental Va Pllc

NPI #1316603939 in Arlington, Virginia

Provider Information

NPI Number
1316603939
Entity Type
Organization
Organization Name
Life Bridge Dental Va Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 9, 2021
Last Updated
Nov 9, 2021

Practice Location

Address
4201 WILSON BLVD STE 190
ZIP Code
22203-4147
Phone
(212) 686-3686

Authorized Official

Name
MR. KENNETH N SULLIVAN
Title
DIRECTOR RCM
Phone
(615) 601-5250

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - General PracticeGeneral Practice

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