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Individual

MRS. MARY JANE CATHERINE KORRIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1712 CLUBHOUSE RD, SUITE 106, RESTON, VA 20190
(703) 471-6600
Mailing address
43925 FELICITY PLACE, ASHBURN, VA 20147
(703) 729-3988

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402004555
VA

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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