Individual
DR. RICARDO GAITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
21525 RIDGETOP CIR, SUITE 220, STERLING, VA 20166-6510
(703) 450-5302
Mailing address
6452 LAKE MEADOW DR, BURKE, VA 22015-3927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008771
VA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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