Individual
GWENDOLYN FAYE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9263 OLD KEENE MILL RD, BURKE, VA 22015
(703) 455-3338
(703) 455-0553
Mailing address
11803 CHANCEFORD DR, WOODBRIDGE, VA 22192-8306
(703) 307-1972
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006591
VA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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