Individual
BRETT ZACKO GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1712 CLUBHOUSE RD, ZACKO AND ASSOC, RESTON, VA 20190
(703) 471-6600
(703) 471-1675
Mailing address
2309 DARIUS LANE, RESTON, VA 20191-5826
(703) 689-0423
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402002258
VA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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