Burke Dental, Pllc

NPI #1407228463 in Burke, Virginia

Provider Information

NPI Number
1407228463
Entity Type
Organization
Organization Name
Burke Dental, Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
POTOMAC VALLEY DENTAL CARE, PLLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 29, 2015
Last Updated
Oct 29, 2015

Practice Location

Address
9006 FERN PARK DR.
Address 2
SUITE A
City
Burke
ZIP Code
22015
Phone
(703) 978-6000

Authorized Official

Name
DR. JAMES WILLIS, DDS
Title
DENTIST/OWNER
Phone
(703) 978-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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