Individual
PAUL V STASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4527 DUKE ST, ALEXANDRIA, VA 22304-2503
(703) 751-5052
Mailing address
4527 DUKE ST, ALEXANDRIA, VA 22304-2503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004580
VA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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