Individual
DR. ELBALILA GOGUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
21001 SYCOLIN RD STE 320, ASHBURN, VA 20147-4074
(703) 858-4700
(703) 858-4703
Mailing address
21001 SYCOLIN RD STE 320, ASHBURN, VA 20147-4074
(703) 858-4700
(703) 858-4702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412159
VA
Other
Enumeration date
06/25/2008
Last updated
07/23/2020
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