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1043585995
HEIDI OSTRENG VATANKA
FAIRFAX, VA
NPI
1043585995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: VA 0401413470)
Enumeration Date
2012-03-11
Last Update Date
2012-03-11
Business Address
-- HEIDI OSTRENG VATANKA DDS
8505 ARLINGTON BLVD STE 370
FAIRFAX, VA 22031-4621
Phone number: 703-849-1415
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Mailing Address
-- HEIDI OSTRENG VATANKA DDS
2821 MOSBY ST
ALEXANDRIA, VA 22305-1828
Phone number: 571-527-0653
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