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1720486434
DULLES ORAL SURGICAL CENTER
CHANTILLY, VA
NPI
1720486434
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Entity Type
Organization
Authorized Contact
EDWARD LONGWE
Director
703-327-0955
Organization Subpart ?
Yes
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2014-12-11
Last Update Date
2014-12-11
Business Address
DULLES ORAL SURGICAL CENTER
24805 PINEBROOK RD SUITE 100
CHANTILLY, VA 20152-4126
Phone number: 703-327-0955
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Mailing Address
DULLES ORAL SURGICAL CENTER
24805 PINEBROOK RD SUITE 100
CHANTILLY, VA 20152-4126
Phone number:
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