Individual
DR. IRELSY ALEXANDRA RIVERA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
7611 LITTLE RIVER TPKE STE 101E, ANNANDALE, VA 22003-2630
(787) 949-5828
Mailing address
7611 LITTLE RIVER TPKE STE 101E, ANNANDALE, VA 22003-2630
(703) 634-4195
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401417865
VA
Other
Enumeration date
04/16/2016
Last updated
07/11/2022
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