Individual
MRS. VITALIYA GENIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
99 CANAL CENTER PLAZA DENTAL BAR,, STE 505, ALEXANDRIA, VA 22314
(703) 214-7748
Mailing address
99 CANAL CENTER PLAZA, STE 505, ALEXANDRIA, VA 22314
(703) 214-7748
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414191
VA
1223G0001X
General Practice Dentistry
055648-1
NY
1223G0001X
General Practice Dentistry
DS038707
PA
Other
Enumeration date
07/08/2011
Last updated
11/27/2024
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