NPI | 1114606811 |
---|---|
Former Legal Business Name | LIDA M VARGAS DDS |
Doing Business As | VIRGINIA DENTAL GROUP PLLC |
Entity Type | Organization |
Authorized Contact | KAREN PUNA Manager 703-385-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
Enumeration Date | 2023-07-12 |
Last Update Date | 2024-04-16 |