610 Dental, P.c.

NPI #1497052237 in Stafford, Virginia

Provider Information

NPI Number: 1497052237
Entity Type: Organization
Organization Name: 610 Dental, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 14, 2011
Last Updated: Feb 14, 2011

Practice Location

Address: 315 GARRISONVILLE RD
Address 2: SUITE 105B
City: Stafford
State: Virginia
ZIP Code: 22554-1542
Phone: (540) 288-9212

Authorized Official

Name: DR. ETHEL M MILES, DDS
Title: PRESIDENT
Phone: (540) 288-9212

Specialties & Taxonomy Codes

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

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