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1356539100
LAKE MANASSA DENTAL CENTER
GAINESVILLE, VA
NPI
1356539100
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Entity Type
Organization
Authorized Contact
LONG NGUYEN
Member
646-641-8825
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
LAKE MANASSA DENTAL CENTER
7915 LAKE MANASSAS DR STE 115
GAINESVILLE, VA 20155
Phone number: 646-641-8825
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Mailing Address
LAKE MANASSA DENTAL CENTER
6911 STANWICK SQ
GAINESVILLE, VA 20155-4424
Phone number: 646-641-8825
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