| NPI | 1649637828 |
|---|---|
| Doing Business As | VIRGINIA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ANNE CHRISTINE HETZ Practice Administrator 703-577-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413869) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401414367) |
| 122300000X Dentist (Licence: VA 0401414929) | |
| 122300000X Dentist (Licence: VA 0401415308) | |
| 122300000X Dentist (Licence: VA 0401415279) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-09-02 |