Individual
DR. ROGER LOUIS MARCELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11351 RANDOM HILLS RD STE 290, FAIRFAX, VA 22030-6081
(703) 293-9100
Mailing address
11351 RANDOM HILLS RD STE 290, FAIRFAX, VA 22030-6081
(703) 293-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5999
VA
Other
Enumeration date
08/11/2007
Last updated
08/02/2021
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