MICHAEL KOSTROV

VIENNA, VA
NPI1386865913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  13958)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Dr. MICHAEL KOSTROV DMD
234 PLEASANT ST
VIENNA, VA 22180
Phone number: 703-255-0405
Mailing Address
Dr. MICHAEL KOSTROV DMD
234 PLEASANT ST
VIENNA, VA 22180
Phone number:
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