Individual
DR. DENNIS ROY CETLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
112 ELDEN ST, SUITE O, HERNDON, VA 20170-4874
(703) 689-4858
Mailing address
10817 KIRKWALL TER, POTOMAC, MD 20854-2727
(301) 299-5979
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401005587
VA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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