Individual
JENNIFER TUMMARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11208 WAPLES MILL RD STE 101, FAIRFAX, VA 22030-6077
(571) 723-2590
Mailing address
11315 HUNT FARM LN, OAKTON, VA 22124-1202
(571) 723-2590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415241
VA
Other
Enumeration date
05/17/2016
Last updated
10/17/2022
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