Individual
DR. MARIBEL MASANGKAY VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3025 HAMAKER CT, SUITE 402, FAIRFAX, VA 22031-2237
(703) 204-1555
(703) 204-1610
Mailing address
3025 HAMAKER CT, SUITE 402, FAIRFAX, VA 22031-2237
(703) 204-1555
(703) 204-1610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7204
VA
1223G0001X
General Practice Dentistry
7204
VA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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