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1275757148
BRUCE WALTER JAY
VIENNA, VA
NPI
1275757148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401006178)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Dr. BRUCE WALTER JAY D.D.S.
8230 LEESBURG PIKE SUITE 730
VIENNA, VA 22182-2639
Phone number: 703-893-5250
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Mailing Address
Dr. BRUCE WALTER JAY D.D.S.
8230 LEESBURG PIKE SUITE 730
VIENNA, VA 22182-2639
Phone number: 703-893-5250
Copy
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