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Individual

MARIA GEMA ISLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1500 CORNERSIDE BLVD, SUITE 310, VIENNA, VA 22182-2433
(703) 790-1329
(703) 790-0455
Mailing address
1500 CORNERSIDE BLVD, 310, VIENNA, VA 22182-2433
(703) 970-1320
(703) 790-0455

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0445000011
VA

Other

Enumeration date
10/16/2006
Last updated
01/24/2014
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