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Contact Information

GROVE DENTAL CLINIC, P.C.
8270 GREENSBORO DR
SUITE NUMBER 101
MCLEAN, VA22102-3800
 Phone: 703-578-8888
 Fax: 866-229-6889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

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

NPI Number 1578934196
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2015
Last updated 10/08/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0401007713
  • VA License # 0401414676
  • VA License # 0401414938
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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