Individual
RALPH LAZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
737 WALKER RD, SUITE 6, GREAT FALLS, VA 22066-2833
(703) 759-3011
(703) 759-6030
Mailing address
737 WALKER RD, SUITE 6, GREAT FALLS, VA 22066-2833
(703) 759-3011
(703) 759-6030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004449
VA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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