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Blossom Smile Of Woodbridge Pllc
Dental Clinic/Center in Woodbridge, Virginia
NPI 1518749423

Blossom Smile Of Woodbridge Pllc is a Dental Clinic/Center based in Mc Lean, VA and is specialized in Dental. Blossom Smile Of Woodbridge Pllc practices in Woodbridge, VA. The NPI Number for Blossom Smile Of Woodbridge Pllc is 1518749423 and holds a License No. (Virginia).

The current practice location address for Blossom Smile Of Woodbridge Pllc is 12618 Lake Ridge Dr, Woodbridge, VA and can be reached out via phone at 916-622-2098.

Location: 12618 Lake Ridge Dr, Woodbridge, VA, 22101-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518749423
Provider Name
Blossom Smile Of Woodbridge Pllc
Credential
Provider Entity Type
Organization
Address
12618 Lake Ridge Dr, Woodbridge, VA, 22101-3610
Phone Number
916-622-2098
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12618 Lake Ridge Dr
City
Woodbridge
State
Virginia
Zip
22192-2335
Phone Number
916-622-2098
Fax Number
person
Provider Business Mailing Address Details
Address
12618 Lake Ridge Dr
City
Woodbridge
State
Virginia
Zip
22192-2335
Phone Number
916-622-2098
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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