# BRADLEY & SEVILLA DMD PC

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

## Provider details

- **NPI number:** 1699889782
- **Authorized official:** DR. MARIA CHRISTINA SEVILLA D.M.D. (OWNER)
- **Authorized official phone:** (703) 242-8416

## Contact information

- **Practice address:** 307 MAPLE AVE W STE G, VIENNA, VA 22180-4307
- **Practice address phone:** (703) 242-8416
- **Mailing address:** 307 MAPLE AVE W STE G, VIENNA, VA 22180-4307
- **Mailing address phone:** (703) 242-8416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0400017414 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0400017415 | VA | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020