Organization
DRS. DELGADO & KUZMIK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DELGADO D.D.S. (PRESIDENT)
(703) 506-1414
Entity
Organization
Contact information
Practice address
8230 LEESBURG PIKE, SUITE 720, VIENNA, VA 22182-2639
(703) 506-1414
(703) 506-9488
Mailing address
8230 LEESBURG PIKE, SUITE 720, VIENNA, VA 22182-2639
(703) 506-1414
(703) 506-9488
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000013
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000014
VA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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