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Individual

DR. EDWARD B DELGADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8230 LEESBURG PIKE, SUITE 720, VIENNA, VA 22182
(703) 506-1414
(703) 506-9488
Mailing address
8230 LEESBURG PIKE, SUITE 720, VIENNA, VA 22182
(703) 506-1414
(703) 506-9488

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006868
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000013
VA

Other

Enumeration date
12/08/2006
Last updated
06/09/2013
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