| Donti Dental, Pllc | |
|
22621 Amendola Ter Suite 110 Ashburn VA 20148-7528 | |
| (703) 723-0400 | |
| (703) 723-0403 |
| Full Name | Donti Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 22621 Amendola Ter, Ashburn, Virginia |
| Authorized Official Name and Position | Ruth Kathleen Duchatellier-cange (OWNER/DENTIST) |
| Authorized Official Contact | 7037230400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donti Dental, Pllc 22621 Amendola Ter Suite 110 Ashburn VA 20148-7528 Ph: (703) 723-0400 | Donti Dental, Pllc 22621 Amendola Ter Suite 110 Ashburn VA 20148-7528 Ph: (703) 723-0400 |
| NPI Number | 1962827782 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962827782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412622 (Virginia) | Primary |
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