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Individual

MAURICIO GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
21 FORT EVANS RD NE, SUITE E, LEESBURG, VA 20176-5079
(703) 777-7307
(703) 777-1840
Mailing address
21 FORT EVANS RD NE, SUITE E, LEESBURG, VA 20176-5079
(703) 777-7307
(703) 777-1840

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413936
VA

Other

Enumeration date
09/08/2010
Last updated
11/12/2014
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