Ridgetop Dental Of Alexandria, PLLC
Clinic/Center, Dental in Alexandria, VA. Organization (NPI-2).
NPI number1962265652
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1962265652
- Entity type
- Organization (NPI-2)
- Legal business name
- Ridgetop Dental Of Alexandria, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 5, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
6481 Old Beulah StAlexandria, VA 22315-3723
Phone 703-971-1919
Mailing address
6481 Old Beulah StAlexandria, VA 22315-3723
Phone 703-971-1919
Authorized official
Diana Sensenbrenner
Owner
7039711919
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