Impact Dental Care Stafford Pllc

NPI #1720659535 in Stafford, Virginia

Provider Information

NPI Number: 1720659535
Entity Type: Organization
Organization Name: Impact Dental Care Stafford Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 2, 2021
Last Updated: Jul 2, 2021

Practice Location

Address: 315 GARRISONVILLE RD STE 105B
City: Stafford
State: Virginia
ZIP Code: 22554-1543
Phone: (540) 930-6500

Authorized Official

Name: PALWINDER KAUR
Title: MANAGER
Phone: (703) 380-1246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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