Organization
OCCOQUAN FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY SCHIATTAREGGIA (FRONT DESK)
(703) 490-9094
Entity
Organization
Contact information
Practice address
1392 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2708
(703) 490-9094
Mailing address
1392 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2708
(703) 490-9094
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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