Individual
DR. MARY A SPEICHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7915 LAKE MANASSAS DR, SUITE 115, GAINESVILLE, VA 20155-3258
(571) 261-9470
(571) 261-9472
Mailing address
7519 LAKE MANASSAS DRIVE, SUITE 301, GAINESVILLE, VA 20155
(703) 743-5937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007331
VA
Other
Enumeration date
05/24/2005
Last updated
12/02/2021
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