Organization
KEVIN M. NOALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL NOALL DDS (DENTIST)
(703) 919-2733
Entity
Organization
Contact information
Practice address
7410 HEATHERFIELD LN, ALEXANDRIA, VA 22315-5287
(703) 919-2733
Mailing address
7410 HEATHERFIELD LN, ALEXANDRIA, VA 22315-5287
(703) 919-2733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001366
DC
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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