Individual
DR. BJORN MATTHEW THORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
385 GARRISONVILLE RD, STAFFORD, VA 22554
(540) 657-7645
Mailing address
1200 14TH ST NW, APT 404, WASHINGTON, DC 20005-4133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414828
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
08/12/2015
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