Individual
DR. RUSTICO DUMLAO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3320 NOBLE POND WAY STE 109, WOODBRIDGE, VA 22193-1470
(703) 640-1000
Mailing address
9661 MAIN ST, FAIRFAX, VA 22031-3757
(703) 425-3737
(703) 425-3762
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410590
VA
Other
Enumeration date
04/26/2007
Last updated
01/29/2024
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