Individual
DR. DEIRDRE MAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6845 ELM ST STE 505, MC LEAN, VA 22101-3822
(703) 556-9400
(703) 556-9400
Mailing address
6845 ELM ST STE 505, MC LEAN, VA 22101-3822
(703) 556-9400
(703) 556-9400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008919
VA
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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