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Contact Information

GROVE DENTAL CLINIC
1707 OSAGE ST
SUITE NUMBER 402
ALEXANDRIA, VA22302-2607
 Phone: 703-578-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
 

General Practice

1223G0001X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for GROVE DENTAL CLINIC · (Female)

NPI Number 1689910556
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2012
Last updated 12/21/2012 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401007713
  • VA License # 0401412357
  • VA License # 0401413405
  • VA License # 0401413657
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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