PRINCE WILLIAM PARKWAY DENTAL PC

WOODBRIDGE, VA
NPI1154892677
Entity TypeOrganization
Authorized ContactDALE MAYFIELD
President
770-916-5036
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Additional Taxonomies1223E0200X Dentist Endodontics
1223P0106X Dentist Oral and Maxillofacial Pathology
1223P0221X Dentist Pediatric Dentistry
1223P0300X Dentist Periodontics
Enumeration Date2018-12-10
Last Update Date2018-12-10
Business Address
PRINCE WILLIAM PARKWAY DENTAL PC
2542 PRINCE WILLIAM PKWY STE 120
WOODBRIDGE, VA 22192-4149
Phone number: 770-916-9000
Mailing Address
PRINCE WILLIAM PARKWAY DENTAL PC
1090 NORTHCHASE PKWY SE STE 150
MARIETTA, GA 30067-6407
Phone number: 770-916-5036