Organization
MALA A BRITTO DDS PC
Active
Other names
Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALA A BRITTO DDS (OWNER)
(703) 230-1000
Entity
Organization
Contact information
Practice address
4080 LAFAYETTE CENTER DR STE 160B, CHANTILLY, VA 20151-1247
(703) 230-1000
(703) 230-0509
Mailing address
4080 LAFAYETTE CENTER DR STE 160B, CHANTILLY, VA 20151-1247
(703) 230-1000
(703) 230-0509
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9180684
—
VA
Enumeration date
03/20/2008
Last updated
10/17/2008
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