Individual
ANDREW JELINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 ROCK POINTE LN, WARRENTON, VA 20186-2630
(540) 270-3922
Mailing address
7434 ELMORES LN, WARRENTON, VA 20187-4507
(540) 270-3922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416779
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2019
Last updated
05/13/2020
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