Individual
DR. EVELYN TEAGUE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5659 COLUMBIA PIKE, # 100, FALLS CHURCH, VA 22041-2878
(314) 669-5958
Mailing address
5659 COLUMBIA PIKE, #100, FALLS CHURCH, VA 22041-2878
(314) 669-5958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413391
VA
1223G0001X
General Practice Dentistry
5038
AL
Other
Enumeration date
01/22/2007
Last updated
08/18/2015
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