| Stafford Gentle Touch Dentistry | |
|
2777 Jefferson Davis Hwy Unit 117 Stafford VA 22554-8323 | |
| (703) 933-2634 | |
| Not Available |
| Full Name | Stafford Gentle Touch Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2777 Jefferson Davis Hwy, Stafford, Virginia |
| Authorized Official Name and Position | Nagalatha Gollapalli (OWNER/DENTIST) |
| Authorized Official Contact | 7039442634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Gentle Touch Dentistry 2777 Jefferson Davis Hwy Unit 117 Stafford VA 22554-8323 Ph: (703) 933-2634 | Stafford Gentle Touch Dentistry 2777 Jefferson Davis Hwy Unit 117 Stafford VA 22554-8323 Ph: (703) 933-2634 |
| NPI Number | 1437503075 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437503075 | NPI | - | NPPES |
| 0401411108 | Other | VA | DENTIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411108 (Virginia) | Primary |
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