Prohealth Dentists Pllc

NPI #1528446457 in Annandale, Virginia

Provider Information

NPI Number: 1528446457
Entity Type: Organization
Organization Name: Prohealth Dentists Pllc
Primary Specialty: Dentist
Enumeration Date: May 12, 2015
Last Updated: May 12, 2015

Practice Location

Address: 7805 ANTIOPI ST
City: Annandale
State: Virginia
ZIP Code: 22003-1405
Phone: (703) 662-5600

Authorized Official

Name: DR. BRIAN LEE, D.M.D.
Title: PRESIDENT
Phone: (703) 662-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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