Individual
DR. ROBERT EDWARD GATENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11208 WAPLES MILL RD, STE 100, FAIRFAX, VA 22030-6077
(703) 352-2073
(703) 352-1541
Mailing address
11208 WAPLES MILL RD, STE 100, FAIRFAX, VA 22030-6077
(703) 352-2073
(703) 352-1541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005922
VA
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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