Individual
SEAN PATRICK KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6120 BRANDON AVE, SUITE 211, SPRINGFIELD, VA 22150-2522
(703) 451-5030
(703) 912-7931
Mailing address
6120 BRANDON AVE, SUITE 211, SPRINGFIELD, VA 22150-2522
(703) 451-5030
(703) 912-7931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410624
VA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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