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
- City
- Woodbridge
- State
- Virginia
- 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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