Individual
DR. EMILIO CANAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11465 SUNSET HILLS RD, SUITE 600, RESTON, VA 20190-5235
(703) 318-8200
Mailing address
11290 STONES THROW DR, RESTON, VA 20194-1045
(703) 318-6578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007486
VA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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