Individual
MRS. KIM LIVEZEY FEIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3299 WOODBURN RD, STE 440 DR J DOUGLAS WOODDELL, ANNANDALE, VA 22003
(703) 698-9698
(703) 849-0935
Mailing address
11808 LENOX LA, WOODBRIDGE, VA 22192
(703) 590-6928
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402001879
VA
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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