Individual
DR. LIDA MARIA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3911 OLD LEE HWY, SUITE 42 C, FAIRFAX, VA 22030-2434
(703) 385-3800
Mailing address
208 WHITMOOR TER, SILVER SPRING, MD 20901-1521
(301) 681-7169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
411057
VA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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