Individual
MARIA G. OBREGON MERLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8150 LEESBURG PIKE STE 920, VIENNA, VA 22182-2714
(703) 636-2442
Mailing address
8150 LEESBURG PIKE STE 920, VIENNA, VA 22182-2714
(703) 636-2442
(703) 636-2440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416540
VA
Other
Enumeration date
06/11/2019
Last updated
07/29/2019
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