Individual
DR. VIDYA R COLOSPATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6845 ELM ST, SUITE 500, MC LEAN, VA 22101-6007
(703) 356-5330
(703) 356-7239
Mailing address
6845 ELM ST, SUITE 500, MC LEAN, VA 22101-6007
(703) 356-5330
(703) 356-7239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411546
VA
Other
Enumeration date
04/26/2007
Last updated
08/06/2014
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