Individual
EUGENE W GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6231 LEESBURG PIKE, SUITE 402, FALLS CHURCH, VA 22044-2102
(703) 534-2744
Mailing address
6231 LEESBURG PIKE, SUITE 402, FALLS CHURCH, VA 22044-2102
(703) 534-2744
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4539
VA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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