HOLLIE BLEVINS STACK

VIENNA, VA
NPI1366458143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: VA  0401007703)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
DR. HOLLIE BLEVINS STACK DDS
120 BEULAH RD NE
VIENNA, VA 22180-4745
Phone number: 703-938-2000
Mailing Address
DR. HOLLIE BLEVINS STACK DDS
120 BEULAH RD NE
VIENNA, VA 22180-4745
Phone number: 703-938-2000
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