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Virginia Dental Group PLLC — NPI 1114606811, Fairfax, VA | NPI Central

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NPI 1114606811

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Virginia Dental Group PLLC

NPI 1114606811 · Orofacial Pain Dentistry · Fairfax, VA

Provider details

NPI number: 1114606811
Entity type: Organization
Primary specialty: Orofacial Pain DentistryDental Providers
Organization subpart: No
Authorized official: Karen Puna, Manager(703) 385-3800

Specialties & taxonomies

Orofacial Pain DentistryPrimary1223X2210X
Dental Providers

Practice location

3911 Blenheim Blvd Ste 42c

Fairfax, VA 22030-2434

Phone: (703) 385-3800

Fax: (703) 890-0084

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

3911 Blenheim Blvd Ste 42c

Fairfax, VA 22030-2434

Other names (DBA / former)

Former legal business name: Lida M Vargas DDS
Former legal business name: Lida M Vargas DDS
Doing business as: Virginia Dental Group PLLC

Registry dates

Enumerated: 2023-07-12
Last updated: 2024-04-16
Certified: 2024-04-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.