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Organization
DALEWOOD MEDICAL ENT
Active
Organization
DALEWOOD MEDICAL ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KULAK (OFFICE MANAGER)
(703) 680-5959
Entity
Organization
Contact information
Practice address
4158 DALE BLVD, DALE CITY, VA 22193-2225
(703) 680-5959
(703) 730-1046
Mailing address
4158 DALE BLVD, DALE CITY, VA 22193-2225
(703) 680-5959
(703) 730-1046
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
12/27/2007
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