Individual
DR. RICHARD DELLORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 PARK ST SE, SUITE 205, VIENNA, VA 22180-4654
(703) 281-5522
(703) 281-2142
Mailing address
124 PARK ST SE, SUITE 205, VIENNA, VA 22180-4654
(703) 281-5522
(703) 281-2142
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6478
VA
Other
Enumeration date
07/25/2006
Last updated
08/06/2007
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