Organization · Type 2 NPI
Woodbridge Periodontal & Implant Center PLLC
Periodontics · Woodbridge, VA
NPI number
1144743709
Active
Practice location
2200 Opitz Blvd Ste 205
Woodbridge, VA 22191-3343
Mailing address
2200 Opitz Blvd, # 205
Woodbridge, VA 22191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 0401414973 (VA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Woodbridge
About NPI 1144743709
Woodbridge Periodontal & Implant Center PLLC's National Provider Identifier is 1144743709, issued on Jul 25, 2017. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Woodbridge, VA. The record was last updated on Aug 4, 2017.