Grove Dental Clinic, P.c.

NPI #1578934196 in Mc Lean, Virginia

Provider Information

NPI Number: 1578934196
Entity Type: Organization
Organization Name: Grove Dental Clinic, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 8, 2015
Last Updated: Oct 8, 2015

Practice Location

Address: 8270 GREENSBORO DR
Address 2: SUITE NUMBER 101
City: Mc Lean
State: Virginia
ZIP Code: 22102-3800
Phone: (703) 578-8888

Authorized Official

Name: DR. MAQSOOD A CHAUDHRY, DDS
Title: CEO
Phone: (703) 578-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - General Practice — General Practice	1223G0001X	Primary

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