Individual
ELDA A BORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
1800 MICHAEL FARADAY DR, SUITE 205, RESTON, VA 20190-5354
(571) 926-8429
(571) 926-8429
Mailing address
3811 E WEST HWY, CHEVY CHASE, MD 20815-5918
(301) 654-1266
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413400
VA
Other
Enumeration date
02/14/2012
Last updated
05/01/2012
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