Individual
DR. SARA T BRENDMOEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
5419C BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 256-8554
(703) 256-1029
Mailing address
5419C BACKLICK RD, SPRINGFIELD, VA 22151-3915
(703) 256-8554
(703) 256-1029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA10758
VA
Other
Enumeration date
08/23/2005
Last updated
07/08/2007
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