M Minnieville Dental Care Pllc

NPI #1952907842 in Woodbridge, Virginia

Provider Information

NPI Number
1952907842
Entity Type
Organization
Organization Name
M Minnieville Dental Care Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
MOMENTUM DENTAL CARE
Primary Specialty
Dentist
Enumeration Date
Dec 7, 2020
Last Updated
Feb 17, 2021

Practice Location

Address
14389 HEREFORD RD
ZIP Code
22193-2107
Phone
(703) 878-8000

Authorized Official

Name
GELLY RIVAS OSORIO
Title
OPERATIONS MANAGER
Phone
(703) 589-7040

Specialties & Taxonomy Codes

Specialty
Dentist

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