Dedicated Dental Pllc

NPI #1700469103 in Stafford, Virginia

Provider Information

NPI Number: 1700469103
Entity Type: Organization
Organization Name: Dedicated Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 3, 2021
Last Updated: May 3, 2021

Practice Location

Address: 11 HOPE RD STE 201
City: Stafford
State: Virginia
ZIP Code: 22554-7287
Phone: (540) 899-1777

Authorized Official

Name: DR. CARTER M WALLER, DMD
Title: PART OWNER DENTIST
Phone: (561) 901-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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