Individual
HENRY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13412 OCCOQUAN RD, WOODBRIDGE, VA 22191-1721
(703) 491-1115
Mailing address
13412 OCCOQUAN RD, WOODBRIDGE, VA 22191-1721
(703) 491-1115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411111
VA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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