Individual
DR. RUBY ANN ESTANIEL BISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10670 CRESTWOOD DR STE B, MANASSAS, VA 20109-4408
(703) 361-0555
(703) 361-6255
Mailing address
10670 CRESTWOOD DR STE B, MANASSAS, VA 20109-4408
(703) 361-0555
(703) 361-6255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008955
VA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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