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1154062990
MICHAEL CEVALLOS
WASHINGTON, DC
NPI
1154062990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: DC DEN2000289)
Enumeration Date
2022-04-05
Last Update Date
2023-09-04
Business Address
MICHAEL CEVALLOS DMD
100 GALLATIN STREET NE
WASHINGTON, DC 20011-2027
Phone number: 202-483-8196
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Mailing Address
MICHAEL CEVALLOS DMD
11919 RIMSWELL MEWS
MIDLOTHIAN, VA 23112
Phone number: 804-433-5921
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