Organization
THE SENDI COSMETIC SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KELLY BUENAVENTURA M.D. (PRESIDENT)
(703) 751-0800
Entity
Organization
Contact information
Practice address
5425 DUKE ST, ALEXANDRIA, VA 22304-3101
(703) 751-0800
(703) 751-4378
Mailing address
5425 DUKE ST, ALEXANDRIA, VA 22304-3101
(703) 751-0800
(703) 751-4378
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
51213
VA
Other
Enumeration date
01/26/2007
Last updated
04/22/2013
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