Individual
MIATA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
450 N WASHINGTON ST, SUITE D, FALLS CHURCH, VA 22046-3439
(703) 538-2806
Mailing address
450 N WASHINGTON ST, SUITE D, FALLS CHURCH, VA 22046-3439
(703) 538-2806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412007
VA
Other
Enumeration date
10/04/2013
Last updated
12/30/2015
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