| Gd Va West Springfield Pllc | |
|
6116 Rolling Rd Ste 316 Springfield VA 22152-1512 | |
| (703) 451-8332 | |
| Not Available |
| Full Name | Gd Va West Springfield Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6116 Rolling Rd Ste 316, Springfield, 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 West Springfield Pllc 6116 Rolling Rd Ste 316 Springfield VA 22152-1512 Ph: (703) 451-8332 | Gd Va West Springfield Pllc 6116 Rolling Rd Ste 316 Springfield VA 22152-1512 Ph: (703) 451-8332 |
| NPI Number | 1235874090 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235874090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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