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Vienna Periodontics
Dental Clinic/Center in Vienna, Virginia
NPI 1528415809

Vienna Periodontics is a Dental Clinic/Center based in Vienna, VA and is specialized in Dental. Vienna Periodontics practices in Vienna, VA. The NPI Number for Vienna Periodontics is 1528415809 and holds a License No. 0401412796 (Virginia).

The current practice location address for Vienna Periodontics is 301 Maple Ave W, Vienna, VA and can be reached out via phone at 703-539-9215.

Location: 301 Maple Ave W, Vienna, VA, 22180-4301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528415809
Provider Name
Vienna Periodontics
Credential
Provider Entity Type
Organization
Address
301 Maple Ave W, Vienna, VA, 22180-4301
Phone Number
703-539-9215
Fax Number
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Maple Ave W
City
Vienna
State
Virginia
Zip
22180-4301
Phone Number
703-539-9215
Fax Number
person
Provider Business Mailing Address Details
Address
301 Maple Ave W
City
Vienna
State
Virginia
Zip
22180-4301
Phone Number
703-539-9215
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
0401412796 (Virginia)
Definition
Definition to come...
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