Individual
MICHAEL CEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 GALLATIN STREET NE, WASHINGTON, DC 20011-2027
(202) 483-8196
Mailing address
11919 RIMSWELL MEWS, MIDLOTHIAN, VA 23112
(804) 433-5921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2000289
DC
Other
Enumeration date
04/05/2022
Last updated
09/04/2023
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