Individual
DR. MICHAEL R PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7915 LAKE MANASSAS DR STE 203, GAINESVILLE, VA 20155-3259
(703) 753-4901
Mailing address
7915 LAKE MANASSAS DR, SUITE 203, GAINESVILLE, VA 20155-3258
(703) 753-4901
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401411746
VA
1223E0200X
Endodontics
19191
TX
Other
Enumeration date
01/30/2007
Last updated
08/21/2009
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