Gino Vc, Dds, Pllc

NPI #1932760196 in Ashburn, Virginia

Provider Information

NPI Number: 1932760196
Entity Type: Organization
Organization Name: Gino Vc, Dds, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 27, 2019
Last Updated: Jun 27, 2019

Practice Location

Address: 22420 FLAGSTAFF PLAZA
Address 2: SUITE 150
City: Ashburn
State: Virginia
ZIP Code: 20148
Phone: (571) 210-0435

Authorized Official

Name: DR. GINO OSCAR VALDIVIESO CHIANG, DDS
Title: OWNER
Phone: (571) 210-0435

Specialties & Taxonomy Codes

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

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