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
- City
- Locust Grove
- State
- Virginia
- 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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