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1457042442
TOTAL DENTAL ARTS, LLC
CENTREVILLE, VA
NPI
1457042442
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Entity Type
Organization
Authorized Contact
KOUROSH BAZARJANI
Doctor
703-890-3200
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
TOTAL DENTAL ARTS, LLC
14631 LEE HWY STE 201
CENTREVILLE, VA 20121-5827
Phone number: 703-890-3200
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Mailing Address
TOTAL DENTAL ARTS, LLC
14631 LEE HWY STE 201
CENTREVILLE, VA 20121-5827
Phone number: 703-890-3200
Copy
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