Individual
RABECCA VANEVENHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10530 ROSEHAVEN ST STE 111, FAIRFAX, VA 22030-2840
(703) 385-5777
Mailing address
10530 ROSEHAVEN ST STE 111, FAIRFAX, VA 22030-2840
(703) 385-5777
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000444
VA
Other
Enumeration date
06/27/2017
Last updated
08/06/2021
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