Individual
DR. MICHAEL CALLEJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14416 JEFFERSON DAVIS HWY, SUITE 16, VA 22191
(703) 492-1999
Mailing address
5240 DUKE ST, APT 106, ALEXANDRIA, VA 22304-2951
(240) 507-9368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414549
VA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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