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Contact Information

IDEAL ENDODONTICS OF WOODBRIDGE PLLC
3102 GOLANSKY BLVD STE 101
WOODBRIDGE, VA22192-4244
 Phone: 571-991-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for IDEAL ENDODONTICS OF WOODBRIDGE PLLC · (Female)

NPI # 1205307238
Status Active
Credentials
Entity Individual
Enumeration date 12/17/2018
Last updated 12/17/2018 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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