Organization
BRITTO ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTE LEIGH JOHANNES (TREATMENT COORDINATOR)
(703) 230-6784
Entity
Organization
Contact information
Practice address
12581 MILSTEAD WAY, SUITE 304, WOODBRIDGE, VA 22192-5445
(703) 583-6784
(703) 230-0509
Mailing address
12581 MILSTEAD WAY, SUITE 304, WOODBRIDGE, VA 22192-5445
(703) 583-6784
(703) 230-0509
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008946
VA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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