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Individual

DR. FERNANDA GURGEL LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6707 OLD DOMINION DR STE 230, MC LEAN, VA 22101-4507
(202) 680-9272
Mailing address
6707 OLD DOMINION DR STE 230, MC LEAN, VA 22101-4507
(202) 680-9272

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414679
VA

Other

Enumeration date
07/27/2012
Last updated
03/15/2022
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