Individual
DR. SANDRA PACIOS PUJADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS, PHD
Contact information
Practice address
3224 CAMBRIDGE CT, FAIRFAX, VA 22030-1912
(215) 391-3682
Mailing address
3224 CAMBRIDGE CT, FAIRFAX, VA 22030-1912
(215) 391-3682
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401415445
VA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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