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Individual

DR. MICHAEL EDWARD LITTLE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11503 SUNRISE VALLEY DRIVE, RESTON, VA 20191
(703) 860-3200
(703) 391-8828
Mailing address
3220 NAVY DRIVE, OAK HILL, VA 20171
(703) 758-2619

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008163
VA

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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