Individual
EVELYN ALEXANDRA CRUZ HERBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3565 LANGSTON BLVD # S3B, ARLINGTON, VA 22207-3756
(571) 447-5577
Mailing address
7223 ADRIENNE GLEN AVE, SPRINGFIELD, VA 22152-3540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418953
VA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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