OLMEDO IVAN VILLAVICENCIO

ANNANDALE, VA
NPI1013059450
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401007760)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
Dr. OLMEDO IVAN VILLAVICENCIO D.D.S.
7501 LITTLE RIVER TPKE STE 105
ANNANDALE, VA 22003-2923
Phone number: 703-354-2878
Mailing Address
Dr. OLMEDO IVAN VILLAVICENCIO D.D.S.
7501 LITTLE RIVER TPKE STE 105
ANNANDALE, VA 22003-2923
Phone number: 703-354-2878
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