| Potomac Valley Dental Care Pllc | |
|
14245p Centreville Sq Centreville VA 20121-2368 | |
| (703) 830-9110 | |
| (703) 830-1632 |
| Full Name | Potomac Valley Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 14245p Centreville Sq, Centreville, Virginia |
| Authorized Official Name and Position | Michael Harkins Gorman (DENTIST) |
| Authorized Official Contact | 7038309110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Dental Care Pllc 14245p Centreville Sq Centreville VA 20121-2368 Ph: (703) 830-9110 | Potomac Valley Dental Care Pllc 14245p Centreville Sq Centreville VA 20121-2368 Ph: (703) 830-9110 |
| NPI Number | 1013387737 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013387737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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