Individual
DR. RAFFAELE PISANO UHRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3116 MOUNT VERNON AVE # 100, ALEXANDRIA, VA 22305-2639
(703) 584-5416
Mailing address
839 NANDINA DR, WESTON, FL 33327-2408
(813) 705-5097
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401418317
VA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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