Individual
MICHAEL DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 N WASHINGTON ST, ALEXANDRIA, VA 22314-1921
(703) 299-9899
Mailing address
624 N WASHINGTON ST, ALEXANDRIA, VA 22314-1921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414383
VA
Other
Enumeration date
07/08/2014
Last updated
12/13/2014
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