Grace Dental of Virginia, LLC

NPI #1700212511 in Chantilly, Virginia

Provider Information

NPI Number: 1700212511
Entity Type: Organization
Organization Name: Grace Dental of Virginia, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 25, 2013
Last Updated: Sep 25, 2013

Practice Location

Address: 4530 WALNEY RD
Address 2: SUITE 102
City: Chantilly
State: Virginia
ZIP Code: 20151-2284
Phone: (703) 870-7784

Authorized Official

Name: DR. SAMER JARWA
Title: DENTIST
Phone: (703) 870-7784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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