Individual
DR. T. WESLEY DACZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8715 STONEWALL RD, #202, MANASSAS, VA 20110-4534
(703) 361-4278
Mailing address
8715 STONEWALL RD, #202, MANASSAS, VA 20110-4534
(703) 361-4278
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0900004444
VA
Other
Enumeration date
06/25/2009
Last updated
12/12/2016
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