Individual
DR. SHIRLEY F BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4229 LAFAYETTE CENTER DR, SUITE 1400, CHANTILLY, VA 20151-1261
(703) 378-2000
(703) 378-2400
Mailing address
4229 LAFAYETTE CENTER DR, SUITE 1400, CHANTILLY, VA 20151-1261
(703) 378-2000
(703) 378-2400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401007521
VA
Other
Enumeration date
09/18/2007
Last updated
12/20/2012
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