Individual
DR. JULIJA KONDRATYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
11575 N SHORE DR APT 1, RESTON, VA 20190-4328
(206) 272-0159
Mailing address
11575 N SHORE DR APT 1, RESTON, VA 20190-4328
(206) 272-0159
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414978
VA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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