Alexandria Pediatric Dentistry, Plc
Dentist in Alexandria, VA. Organization (NPI-2).
NPI number1740604693
StatusActive
Last updated in NPPESFeb 13, 2014
Details
- NPI
- 1740604693
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexandria Pediatric Dentistry, Plc
- Organization subpart
- No
- Enumeration date
- Feb 13, 2014
- Last updated
- Feb 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0401414156 | VA | Yes |
Practice location
3223 Duke StSuite A
Alexandria, VA 22314-4586
Phone 571-257-5744 · Fax 571-257-5759
Mailing address
3223 Duke StSuite A
Alexandria, VA 22314-4586
Phone 571-257-5744 · Fax 571-257-5759
Authorized official
Joseph Wong Lopez
Owner
5712575744
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