NPI 1043947849

Park Avenue Dental PLLC

Organisation Dental Clinic/Center Falls Church, VA

Practice location

Address: 313 Park Ave STE 101, Falls Church, VA 22046-3303
Phone: (703) 409-1700
Mailing address: 8310 Old Courthouse Rd STE a, Vienna, VA 22182-3872

Authorised official

Name: Geith Kallas
Title: Owner
Phone: (703) 622-3300

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Virginia →

Registry record

NPI: 1043947849
Entity type: Organization
NPI issued: 2 Aug 2022
Record last updated: 2 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.