Optimum Dental

NPI #1639509102 in Falls Church, Virginia

Provider Information

NPI Number: 1639509102
Entity Type: Organization
Organization Name: Optimum Dental
Primary Specialty: Dentist
Enumeration Date: Nov 20, 2013
Last Updated: Nov 20, 2013

Practice Location

Address: 7389 LEE HWY STE 101
City: Falls Church
State: Virginia
ZIP Code: 22042-1737
Phone: (703) 876-4700

Authorized Official

Name: MRS. MARCIA WALLER
Title: OFFICE MANAGER
Phone: (703) 876-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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