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General NPI Number Information
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NPI Number | 1538845821
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Entity Type | Organization
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Legal Business Name | DENTISTS OF ARLINGTON PC
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 4707 COLUMBIA PIKE UNIT C1
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City | ARLINGTON
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State | VA
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Zip | 22204-5923
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Country | US
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Telephone | 703-705-4022
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Fax |
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Provider Business Mailing Address
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Address Line | 4707 COLUMBIA PIKE UNIT C1
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City | ARLINGTON
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State | VA
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Zip | 22204-5923
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Country | US
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Telephone | 703-705-4022
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KATHERINE ESTRADA
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Credential |
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Telephone | 703-606-1305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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