Individual
DR. DOUGLAS M ARENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
10347 B DEMOCRACY LANE, STE 200, FAIRFAX, VA 22030
(703) 281-5970
Mailing address
PO BOX 1447, FAIRFAX, VA 22038-1447
(703) 281-5970
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
0401004979
VA
291U00000X
Clinical Medical Laboratory
49D1041147
VA
Other
Enumeration date
08/09/2005
Last updated
08/18/2015
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