Herndon Dental Arts at Woodland Park, Pllc

NPI #1740602291 in Herndon, Virginia

Provider Information

NPI Number: 1740602291
Entity Type: Organization
Organization Name: Herndon Dental Arts at Woodland Park, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 16, 2014
Last Updated: Jan 16, 2014

Practice Location

Address: 12973 HIGHLAND CROSSING DRIVE
Address 2: STE B
City: Herndon
State: Virginia
ZIP Code: 20171
Phone: (703) 953-3307

Authorized Official

Name: CHRIS BARBOSA
Title: OFFICE MANAGER
Phone: (703) 953-3307

Specialties & Taxonomy Codes

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

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