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1801242466
DENTAL CENTER @ LAKE RIDGE
WOODBRIDGE, VA
NPI
1801242466
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Entity Type
Organization
Authorized Contact
THAO DOAN
Owner
703-499-8888
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: VA 0401410245)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
DENTAL CENTER @ LAKE RIDGE
12764 DARBY BROOK CT
WOODBRIDGE, VA 22192-2486
Phone number: 703-499-8888
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Mailing Address
DENTAL CENTER @ LAKE RIDGE
12764 DARBY BROOK CT
WOODBRIDGE, VA 22192-2486
Phone number: 703-499-8888
Copy
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