Individual
OPERADELLA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CENTRAL AVE, BLDG 18036, FORT LEE, VA 23801-1526
(804) 734-5454
Mailing address
300 CENTRAL AVE, FORT LEE, VA 23801-1526
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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