| Gd Va Ade Pllc | |
|
3301 Fairfax Dr Ste 54 Arlington VA 22201-4426 | |
| (701) 352-5015 | |
| Not Available |
| Full Name | Gd Va Ade Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3301 Fairfax Dr Ste 54, Arlington, Virginia |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Va Ade Pllc 3301 Fairfax Dr Ste 54 Arlington VA 22201-4426 Ph: (701) 352-5015 | Gd Va Ade Pllc 3301 Fairfax Dr Ste 54 Arlington VA 22201-4426 Ph: (701) 352-5015 |
| NPI Number | 1154023927 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154023927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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