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Individual

DR. RICHARD UYTRI LY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5802 ARMY PENTAGON, WASHINGTON, DC 20307-5400
(703) 692-8751
(703) 692-6123
Mailing address
6900 GEORGIA AVE. NW, BUILDING T20, ROOM 206A, WASHINGTON, DC 20307-5400
(202) 782-0988
(202) 782-9195

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035618
PA

Other

Enumeration date
12/09/2005
Last updated
07/08/2007
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