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1992274153
TDG DENTAL GROUP PLLC
WOODBRIDGE, VA
NPI
1992274153
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Entity Type
Organization
Authorized Contact
STEPHANIE GOMEZ
Credentialing Supervisor
305-274-2499
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
TDG DENTAL GROUP PLLC
3114 GOLANSKY BLVD STE 101
WOODBRIDGE, VA 22192-4231
Phone number: 703-583-2800
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Mailing Address
TDG DENTAL GROUP PLLC
3114 GOLANSKY BLVD STE 101
WOODBRIDGE, VA 22192-4231
Phone number: 703-583-2800
Copy
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