Individual
MISS KATHERINE MARTIN PANGILINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
313 PARK AVE, SUITE 103, FALLS CHURCH, VA 22046-3327
(703) 237-3700
Mailing address
8350 CRACKLING CEDAR LN, GAINESVILLE, VA 20155-5206
(703) 753-9558
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402203760
VA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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