Individual
DR. JOSEPH JOHN PELKOFSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 ROYAL STREET SE, LEESBURG, VA 20175-3014
(703) 777-5200
(703) 777-1629
Mailing address
16 ROYAL STREET SE, LEESBURG, VA 20175-3014
(703) 777-5200
(703) 777-1629
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4469
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001236
ANTHEM
VA
Enumeration date
12/01/2006
Last updated
01/18/2011
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