| 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 |