Individual
DR. ERIC A FORETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.A.
Contact information
Practice address
1515 CHAIN BRIDGE RD, SUITE 206, MCLEAN, VA 22101-4451
(703) 893-8800
Mailing address
10440 NEW ASCOT DRIVE, GREAT FALLS, VA 22066-3421
(703) 759-5530
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3844
VA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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