Dental Professionals of Virginia, P.c
NPI #1346770682 in Gainesville, Virginia
Provider Information
- NPI Number
- 1346770682
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Virginia, P.c
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF VIRGINIA, P.C
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2017
- Last Updated
- Jun 19, 2017
Practice Location
- Address
- 13801 HEATHCOTE BLVD
- Address 2
- STE 100
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155
- Phone
- (571) 222-6042
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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