Individual
GUSTAVO MANUEL AROCHA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192
(703) 680-7950
Mailing address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416103
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
08/06/2018
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