Organization
DERMUTOPIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA DINTIMAN MD (OWNER)
(703) 299-3156
Entity
Organization
Contact information
Practice address
370 MAPLE AVE W STE V, VIENNA, VA 22180-5615
(703) 229-2544
Mailing address
12411 MACAO CT, OAK HILL, VA 20171-2140
(703) 229-3156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/14/2018
Last updated
09/26/2019
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