Provider Demographics
NPI:1861836595
Name:TOP DENTAL PRACTICE, PC
Entity Type:Organization
Organization Name:TOP DENTAL PRACTICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARMELLINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-393-9393
Mailing Address - Street 1:10529 CRESTWOOD DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-4418
Mailing Address - Country:US
Mailing Address - Phone:703-393-9393
Mailing Address - Fax:
Practice Address - Street 1:10529 CRESTWOOD DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-4418
Practice Address - Country:US
Practice Address - Phone:703-393-9393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014116801223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty