Individual
DR. PATRICK SHEAMUS HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12600 LAKE RIDGE DR, WOODBRIDGE, VA 22192-2335
(703) 491-4278
Mailing address
12600 LAKE RIDGE DR, WOODBRIDGE, VA 22192-2335
(703) 491-4278
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414069
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
355
OK
Other
Enumeration date
06/28/2012
Last updated
04/21/2014
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