Marcos Grande DDS Pllc

NPI #1326462367 in Herndon, Virginia

Provider Information

NPI Number: 1326462367
Entity Type: Organization
Organization Name: Marcos Grande DDS Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 11, 2014
Last Updated: Feb 11, 2014

Practice Location

Address: 108 ELDEN ST
Address 2: 10
City: Herndon
State: Virginia
ZIP Code: 20170-4828
Phone: (703) 471-7164

Authorized Official

Name: MARCOS GRANDE, DDS
Title: DENTIST
Phone: (703) 471-7164

Specialties & Taxonomy Codes

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

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