Individual
DR. CHARLES RICHMOND FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1886 METRO CENTER DR, STE 610, RESTON, VA 20190-5288
(703) 689-4442
(703) 689-0859
Mailing address
1886 METRO CENTER DR, STE 610, RESTON, VA 20190-5288
(703) 689-4442
(703) 689-0859
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401007253
VA
Other
Enumeration date
05/27/2005
Last updated
05/08/2013
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