Individual
DR. ANIL DWIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2071 CHAIN BRIDGE RD, SUITE 410, VIENNA, VA 22182-2664
(703) 734-1080
Mailing address
2071 CHAIN BRIDGE RD, SUITE 410, VIENNA, VA 22182-2664
(703) 734-1080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007707
VA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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