Individual
DR. ELVI BARCOMA KONZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
22855 BRAMBLETON PLZ STE 200, BRAMBLETON, VA 20148-4871
(703) 327-1718
Mailing address
22855 BRAMBLETON PLZ STE 200, BRAMBLETON, VA 20148-4871
(703) 327-1718
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414121
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D10233
OR
Other
Enumeration date
01/07/2015
Last updated
03/03/2025
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