Provider Demographics
NPI:1831661909
Name:COMPLETE DENTAL CARE P.C
Entity Type:Organization
Organization Name:COMPLETE DENTAL CARE P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELEDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-270-0466
Mailing Address - Street 1:3801 FAIRFAX DR STE 52
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1762
Mailing Address - Country:US
Mailing Address - Phone:703-270-0466
Mailing Address - Fax:703-270-0488
Practice Address - Street 1:3801 FAIRFAX DR STE 52
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1762
Practice Address - Country:US
Practice Address - Phone:703-270-0466
Practice Address - Fax:703-270-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-29
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty