| Oak Tree Dental LLC | |
|
8353 Greensboro Dr Suite A & B Mc Lean VA 22102-3530 | |
| (774) 212-3828 | |
| Not Available |
| Full Name | Oak Tree Dental LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8353 Greensboro Dr, Mc Lean, Virginia |
| Authorized Official Name and Position | Kowshik R Vaddi (OWNER/DENTIST) |
| Authorized Official Contact | 7742123828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Tree Dental LLC 8353 Greensboro Dr Suite A & B Mc Lean VA 22102-3530 Ph: (774) 212-3828 | Oak Tree Dental LLC 8353 Greensboro Dr Suite A & B Mc Lean VA 22102-3530 Ph: (774) 212-3828 |
| NPI Number | 1316323546 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316323546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401414337 (Virginia) | Primary |
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