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Individual

DR. WHITNEY SHAUN JARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3903 FAIR RIDGE DR STE 214, FAIRFAX, VA 22033-2945
(703) 263-9388
(703) 887-0776
Mailing address
3903 FAIR RIDGE DR STE 214, FAIRFAX, VA 22033-2945
(703) 263-9388
(703) 877-0776

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410893
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9181203
VA
Enumeration date
07/31/2006
Last updated
08/04/2021
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