| Sunrise Valley Dental Associates, Pllc | |
|
12950 Highland Crossing Dr Ste F Herndon VA 20171-5888 | |
| (703) 787-9670 | |
| Not Available |
| Full Name | Sunrise Valley Dental Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12950 Highland Crossing Dr Ste F, Herndon, Virginia |
| Authorized Official Name and Position | Cynthia M Loayza (ADMINISTRATOR) |
| Authorized Official Contact | 7034518332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Valley Dental Associates, Pllc 12950 Highland Crossing Dr Ste F Herndon VA 20171-5888 Ph: (703) 787-9670 | Sunrise Valley Dental Associates, Pllc 12950 Highland Crossing Dr Ste F Herndon VA 20171-5888 Ph: (703) 787-9670 |
| NPI Number | 1740520378 |
|---|---|
| Provider Enumeration Date | 02/19/2013 |
| Last Update Date | 02/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740520378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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