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Individual

DR. NICKOLI DUBYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
9300 DEWITT LOOP RM 1.320, FT BELVOIR, VA 22060-5285
(571) 231-3531
Mailing address
9300 DEWITT LOOP RM 1.320, FORT BELVOIR, VA 22060-5285
(571) 231-3521

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411533
VA
1223X2210X
Orofacial Pain Dentistry
Primary
0401411533
VA

Other

Enumeration date
01/04/2007
Last updated
10/20/2023
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