Dental Professionals of Virginia, P.c
NPI #1912251034 in Springfield, Virginia
Provider Information
- NPI Number
- 1912251034
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Virginia, P.c
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF VIRGINIA, P.C
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 29, 2012
- Last Updated
- Jan 11, 2014
Practice Location
- Address
- 6671B BACKLICK RD
- Address 2
- SUITE 15-17
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-2702
- Phone
- (703) 992-7050
Authorized Official
- Name
- CARMEN WOODS
- Title
- INSURANCE/CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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