Individual
VICTORIA EMILIA SERAPHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
80 E JEFFERSON ST STE 400B, FALLS CHURCH, VA 22046-3569
(703) 241-5437
Mailing address
5112 DONOVAN DR APT 109, ALEXANDRIA, VA 22304-8685
(310) 663-7021
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401418742
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2022
Last updated
06/24/2024
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