ALEX DERTAD MANGUIKIAN

FAIRFAX, VA
NPI1164657342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: VA  0101253390)
Enumeration Date2009-05-18
Last Update Date2013-03-19
Business Address
-- ALEX DERTAD MANGUIKIAN M.D., Ph.D.
9936 MAIN ST
FAIRFAX, VA 22031-3901
Phone number: 703-591-4884
Mailing Address
-- ALEX DERTAD MANGUIKIAN M.D., Ph.D.
9936 MAIN ST
FAIRFAX, VA 22031-3901
Phone number: 703-591-4884
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