Organization
JASON W. DULAC, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WILLIAM DULAC DDS (OWNER)
(616) 340-7674
Entity
Organization
Contact information
Practice address
6124 BRANDON AVE, SPRINGFIELD, VA 22150-2610
(703) 451-4500
(703) 451-7164
Mailing address
6124 BRANDON AVE, SPRINGFIELD, VA 22150-2610
(703) 451-4500
(703) 451-7164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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