Individual
MAURICIO COLOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8304-C OLD CORTHOUSE RD,, TYSON'SCORNER DENTAL ART CENTER, VIENNA, VA 22182
(703) 356-1200
(703) 356-6742
Mailing address
2294 GLENMORE TER, ROCKVILLE, MD 20850-3051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414956
VA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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