# BRISTOW ENDODONTIC ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326799545
- **Authorized official:** DR. ROBERT A CHERON DMD, MS (MANAGING MEMBER)
- **Authorized official phone:** (703) 528-8382

## Contact information

- **Practice address:** 9070 DEVLIN RD STE 140, BRISTOW, VA 20136-1042
- **Practice address phone:** (267) 252-0125
- **Mailing address:** 400 N VIEW TER, ALEXANDRIA, VA 22301-2612
- **Mailing address phone:** (267) 252-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 01/11/2022