Individual
DAMITA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6211 CENTREVILLE RD, #600, CENTREVILLE, VA 20121
(703) 961-8808
(703) 961-8838
Mailing address
6211 CENTREVILLE RD, #600, CENTREVILLE, VA 20121
(703) 961-8808
(703) 961-8838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007292
VA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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