Individual
DR. JUSTIN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14007 MINNIEVILLE RD, WOODBRIDGE, VA 22193-2310
(703) 670-5414
Mailing address
12809 PILOTS LANDING WAY APT SUITE, GAITHERSBURG, MD 20878-6118
(240) 644-5394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416976
VA
Other
Enumeration date
04/29/2019
Last updated
10/19/2021
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