Individual
DR. NANA DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3040 WILLIAMS DR, STE. #201, FAIRFAX, VA 22031-4618
(571) 419-6897
(571) 419-6889
Mailing address
3040 WILLIAMS DR, STE. #201, FAIRFAX, VA 22031-4618
(571) 419-6897
(571) 419-6889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14996
MD
122300000X
Dentist
DEN1001083
DC
1223G0001X
General Practice Dentistry
Primary
0401414277
VA
Other
Enumeration date
09/23/2011
Last updated
02/01/2015
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