Individual
TADASHA EARSELL CULBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4480 KING ST, ALEXANDRIA, VA 22302-1300
(703) 535-5568
(703) 535-1583
Mailing address
4480 KING ST, ALEXANDRIA, VA 22302-1300
(703) 535-5568
(703) 535-1583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414724
VA
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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