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Individual

MRS. AMANDA MARCELA VILENIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4893 PRINCE WILLIAM PKWY STE 101, WOODBRIDGE, VA 22192-5404
(703) 291-4394
Mailing address
5503 TEAK CT, ALEXANDRIA, VA 22309-4218
(703) 975-9605

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419754
VA
1223G0001X
General Practice Dentistry
Primary
18969
MD

Other

Enumeration date
08/18/2025
Last updated
03/30/2026
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