Individual
BRIAN A MAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10550 WARWICK AVE, FAIRFAX, VA 22030-3133
(703) 273-7846
(703) 352-0897
Mailing address
10550 WARWICK AVE, FAIRFAX, VA 22030-3133
(703) 273-7846
(703) 352-0897
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4894
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125750358
AMERICAN DENTAL ASSOCIATION ID NUMBER
VA
Enumeration date
10/15/2008
Last updated
10/15/2008
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