Individual
JULIA BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6800 FLEETWOOD RD STE 100, MC LEAN, VA 22101-3604
(703) 506-9805
Mailing address
6800 FLEETWOOD RD STE 100, MC LEAN, VA 22101-3604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414911
VA
122300000X
Dentist
64616
CA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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