Individual
GIOVANNI CABALLERO-ACUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11211 WAPLES MILL RD STE 300, FAIRFAX, VA 22030-7406
(703) 865-7622
Mailing address
5911 EDSALL RD APT 906, ALEXANDRIA, VA 22304-4118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413094
VA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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