GRACE DENTAL OF VIRGINIA, LLC

CHANTILLY, VA
NPI1700212511
Entity TypeOrganization
Authorized ContactSAMER JARWA
Dentist
703-870-7784
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401412081)
Enumeration Date2013-09-25
Last Update Date2013-09-25
Business Address
GRACE DENTAL OF VIRGINIA, LLC
4530 WALNEY RD SUITE 102
CHANTILLY, VA 20151-2284
Phone number: 703-870-7784
Mailing Address
GRACE DENTAL OF VIRGINIA, LLC
4530 WALNEY RD SUITE 102
CHANTILLY, VA 20151-2284
Phone number: 703-870-7784