Organization
GALARIA PLASTIC SURGERY & DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILONA M OWENS (OFFICE MANAGER)
(703) 327-3173
Entity
Organization
Contact information
Practice address
24805 PINEBROOK RD, 105, CHANTILLY, VA 20152-4126
(703) 327-3173
Mailing address
24805 PINEBROOK RD, 105, CHANTILLY, VA 20152-4126
(703) 327-3173
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
0101244923
VA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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