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Organization
STEPHEN A MABRY DDS PLC
Active
Organization
STEPHEN A MABRY DDS PLC
Active
Other names
Stephen A Mabry DDS PLC
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BRADY (OFFICE MANAGER)
(703) 527-3554
Entity
Organization
Contact information
Practice address
2800 10TH ST N, ARLINGTON, VA 22201-2174
(703) 527-3554
(703) 527-8762
Mailing address
2800 10TH ST N, ARLINGTON, VA 22201-2174
(703) 527-3554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411464
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401411464
LICENSE NUMBER
VA
Enumeration date
02/14/2018
Last updated
06/16/2018
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