Provider Demographics
NPI:1902019284
Name:ARLINGTON DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:ARLINGTON DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-534-1222
Mailing Address - Street 1:200 LITTLE FALLS ST
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4302
Mailing Address - Country:US
Mailing Address - Phone:703-534-1222
Mailing Address - Fax:
Practice Address - Street 1:200 LITTLE FALLS ST
Practice Address - Street 2:SUITE 201B
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4302
Practice Address - Country:US
Practice Address - Phone:703-534-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014089151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty