Individual
DR. JESSICA KOCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
22855 BRAMBLETON PLZ STE 200, BRAMBLETON, VA 20148-4871
(703) 327-1718
Mailing address
700 N RANDOLPH ST APT 1200, ARLINGTON, VA 22203-2188
(814) 881-2729
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401417320
VA
Other
Enumeration date
07/02/2021
Last updated
07/21/2021
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