Organization
SPORT AND WELLNESS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DANDELSKI D.C. (OWNER)
(703) 829-7226
Entity
Organization
Contact information
Practice address
5105 BACKLICK RD, SUITE A, ANNANDALE, VA 22003-6005
(703) 642-8685
Mailing address
5105A BACKLICK RD, SUITE A, ANNANDALE, VA 22003-6005
(703) 642-8685
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556853
VA
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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