Individual
DR. YELENA SOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
112 ELDEN ST, SUITE S, HERNDON, VA 20170-4874
(703) 787-3585
(703) 787-9887
Mailing address
112 ELDEN ST, SUITE S, HERNDON, VA 20170-4874
(703) 787-3585
(703) 787-9887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008086
VA
Other
Enumeration date
01/09/2007
Last updated
10/19/2011
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