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Individual

DR. ADRIANA VISCARRA FOSSATI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10875 MAIN ST STE 105, FAIRFAX, VA 22030-4732
(703) 352-4121
Mailing address
3029 CHANCELLORS WAY NE, WASHINGTON, DC 20017-1406

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419601
VA

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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