Individual
DR. JUANLI GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS, PHD, FACP
Contact information
Practice address
8321 OLD COURTHOUSE RD, SUITE 120, VIENNA, VA 22182-3817
(703) 992-0674
(703) 992-0714
Mailing address
8321 OLD COURTHOUSE RD, SUITE 120, VIENNA, VA 22182-3817
(703) 992-0674
(703) 992-0714
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401412601
VA
Other
Enumeration date
08/09/2010
Last updated
05/19/2012
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