Organization · Type 2 NPI
Kings Park Dental, LLC
Dental Clinic/Center · Springfield, VA
NPI number
1225640394
Active
Practice location
8942 Burke Lake Rd
Springfield, VA 22151-1004
Fax (571) 407-7238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1225640394
Kings Park Dental, LLC's National Provider Identifier is 1225640394, issued on Aug 20, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Springfield, VA. The record was last updated on Aug 20, 2020.