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1710390042
DENTAL ONE ASSOCIATES (OLD DOMINION) PLLC
FAIRFAX, VA
NPI
1710390042
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Entity Type
Organization
Authorized Contact
MICHAEL COLE
VP Insurance Plan Management
727-726-1611
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
DENTAL ONE ASSOCIATES (OLD DOMINION) PLLC
9942 MAIN ST
FAIRFAX, VA 22031-3901
Phone number: 703-273-6622
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Mailing Address
DENTAL ONE ASSOCIATES (OLD DOMINION) PLLC
9942 MAIN ST
FAIRFAX, VA 22031-3901
Phone number:
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