Individual
RALPH GITOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1530 12TH ST N APT 506, ARLINGTON, VA 22209-3656
(703) 528-6818
Mailing address
1530 12TH ST N APT 506, ARLINGTON, VA 22209-3656
(703) 528-6818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7013
MD
1223G0001X
General Practice Dentistry
Primary
7013
MD
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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