GEOVANNY BALDERAS

LEESBURG, VA
NPI1215585302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  0401416949)
Enumeration Date2019-08-31
Last Update Date2020-07-08
Business Address
GEOVANNY BALDERAS DMD
19340 PROMENADE DR
LEESBURG, VA 20176-6500
Phone number: 571-333-8558
Mailing Address
GEOVANNY BALDERAS DMD
7517 CLEMSON CT
MANASSAS, VA 20109-7230
Phone number: