Individual
CRISTIAN ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8100 ASHTON AVE STE 212, MANASSAS, VA 20109-5688
(703) 369-5442
Mailing address
1220 12TH ST NW APT 907, WASHINGTON, DC 20005-4358
(202) 288-0072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414718
VA
Other
Enumeration date
01/15/2015
Last updated
01/28/2015
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