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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

NPI # 1689910556
LBN Legal business name GROVE DENTAL CLINIC
Authorized official MAQSOOD CHAUDHRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2012
Last updated 12/21/2012 - About 13 years ago
Identifiers
VA License # 0401007713
VA License # 0401412357
VA License # 0401413405
VA License # 0401413657
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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