Individual
MITCHELL BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
43170SOUTHERNWALKPLAZA, SUITE104, ASHBURN, VA 20148
(703) 723-7123
Mailing address
2784 BORDEAUX PL, WOODBRIDGE, VA 22192-1650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008028
VA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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