Locust Grove Dental Care, PC

NPI #1518404615 in Locust Grove, Virginia

Provider Information

NPI Number
1518404615
Entity Type
Organization
Organization Name
Locust Grove Dental Care, PC
Primary Specialty
Clinic/Center
Enumeration Date
Jan 26, 2017
Last Updated
Jan 26, 2017

Practice Location

Address
35070 GERMANNA HEIGHTS DR STE B
ZIP Code
22508-3108
Phone
(540) 399-9841

Authorized Official

Name
DR. BASIONY TAHER HAGAR, DDS
Title
PRESIDENT
Phone
(703) 981-4694

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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