Vivadent Pllc
NPI #1528927233 in King George, Virginia
Provider Information
- NPI Number
- 1528927233
- Entity Type
- Organization
- Organization Name
- Vivadent Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 19, 2026
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 15521 REAL ESTATE AVE STE 200
- City
- King George
- State
- Virginia
- ZIP Code
- 22485-5328
- Phone
- (540) 663-3139
Authorized Official
- Name
- WENDY TAVARA
- Title
- OFFICE MANAGER
- Phone
- (540) 663-3139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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