Individual
DR. IGNACIO BLASI BERIAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
3224 CAMBRIDGE CT, FAIRFAX, VA 22030-1912
(267) 670-4271
Mailing address
3224 CAMBRIDGE CT, FAIRFAX, VA 22030-1912
(267) 670-4271
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401413955
VA
Other
Enumeration date
09/16/2013
Last updated
11/06/2018
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