Individual
BREANNA DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19465 DEERFIELD AVE STE 302, LANSDOWNE, VA 20176-1705
(703) 726-3030
Mailing address
2401 TERRETT AVE, ALEXANDRIA, VA 22301-1148
(571) 215-7470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857357
MA
122300000X
Dentist
DS041032
PA
1223P0221X
Pediatric Dentistry
Primary
0401417260
VA
1223P0221X
Pediatric Dentistry
DEN1002178
DC
1223P0221X
Pediatric Dentistry
DN1857357
MA
1223P0221X
Pediatric Dentistry
DS041032
PA
Other
Enumeration date
08/28/2016
Last updated
04/06/2025
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