Individual
DR. MICHAEL ANTHONY FABIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6120 BRANDON AVE, 314, SPRINGFIELD, VA 22150-2522
(703) 569-0000
Mailing address
6120 BRANDON AVE, 314, SPRINGFIELD, VA 22150-2522
(703) 569-0000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401004759
VA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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