Organization
VERONICA M. ENRIQUEZ, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA M ENRIQUEZ D.D.S. (OWNER)
(703) 378-4004
Entity
Organization
Contact information
Practice address
14102 SULLYFIELD CIR, SUITE 500, CHANTILLY, VA 20151-1610
(703) 378-4004
Mailing address
14102 SULLYFIELD CIR, SUITE 500, CHANTILLY, VA 20151-1610
(703) 378-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008941
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013923
—
VA
Enumeration date
10/21/2008
Last updated
10/22/2009
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