Individual
DR. EDISON A ABRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4210 MOZART BRIGADE LN, APARTMENT Y, FAIRFAX, VA 22033-3906
(703) 870-5908
Mailing address
4210 MOZART BRIGADE LN, APARTMENT Y, FAIRFAX, VA 22033-3906
(703) 870-5908
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401413324
VA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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