Dental Professionals of Virginia, P.c.

NPI #1356969034 in Springfield, Virginia

Provider Information

NPI Number
1356969034
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
Jul 9, 2020
Last Updated
Jul 9, 2020

Practice Location

Address
7015 OLD KEENE MILL RD STE 101
ZIP Code
22150-2805
Phone
(703) 879-6939

Authorized Official

Name
TABATHA LEMKE
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-6078

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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