Tdg Dental Group Pllc
NPI #1992274153 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1992274153
- Entity Type
- Organization
- Organization Name
- Tdg Dental Group Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 16, 2018
- Last Updated
- Nov 16, 2018
Practice Location
- Address
- 3114 GOLANSKY BLVD STE 101
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-4231
- Phone
- (703) 583-2800
Authorized Official
- Name
- STEPHANIE GOMEZ
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (305) 274-2499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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