Individual
DR. ABIGAIL SUSAN WIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5212 LYNGATE CT STE B, BURKE, VA 22015-1631
(703) 978-5660
Mailing address
552 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-2320
(614) 905-9608
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419192
VA
Other
Enumeration date
05/25/2022
Last updated
12/18/2024
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