Individual
DANIEL DAFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4391 RIDGEWOOD CENTER DR UNIT 1C, WOODBRIDGE, VA 22192-5399
(304) 210-6044
(703) 382-6548
Mailing address
4391 RIDGEWOOD CENTER DR UNIT 1C, WOODBRIDGE, VA 22192-5399
(304) 210-6044
(703) 382-6548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4038
WV
Other
Enumeration date
04/04/2013
Last updated
03/17/2018
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