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Individual

DR. PHILIP A GENTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, FAGD

Contact information

Practice address
1831 WILSON BLVD, ARLINGTON, VA 22201
(703) 522-7733
(703) 528-7341
Mailing address
1831 WILSON BLVD, ARLINGTON, VA 22201-3002
(703) 522-7733
(703) 528-7341

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
15305
MD
1223G0001X
General Practice Dentistry
Primary
0401007345
VA

Other

Enumeration date
04/06/2007
Last updated
07/05/2018
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