Individual
DR. DAVID ALAN DEBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9380 FORESTWOOD LN STE E, MANASSAS, VA 20110-4735
(703) 368-4344
Mailing address
9380 FORESTWOOD LN STE E, MANASSAS, VA 20110-4735
(703) 368-4344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005567
VA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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