Organization
ROGER MARCELLIN D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LOUIS MARCELLIN D.D.S. (PRESIDENT)
(703) 293-9100
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON HWY, SUITE 503, FAIRFAX, VA 22033-3310
(703) 293-9100
Mailing address
12011 LEE JACKSON HWY, SUITE 503, FAIRFAX, VA 22033-3310
(703) 293-9100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5999
VA
Other
Enumeration date
08/11/2007
Last updated
05/11/2015
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