Individual
DR. KENNETH MICHAEL VANSTRALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3111 TELEGRAPH CORNER LN, SUITE 201, ALEXANDRIA, VA 22310-2359
(703) 317-3900
(703) 317-3352
Mailing address
3111 TELEGRAPH CORNER LN, SUITE 201, ALEXANDRIA, VA 22310-2359
(703) 317-3900
(703) 317-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006420
VA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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