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1508936998
JOHANA NIETO
FALLS CHURCH, VA
NPI
1508936998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401411219)
Enumeration Date
2006-11-09
Last Update Date
2012-09-21
Business Address
Dr. JOHANA NIETO DDS
800 W BROAD ST SUITE 304
FALLS CHURCH, VA 22046-3106
Phone number: 703-237-3516
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Mailing Address
Dr. JOHANA NIETO DDS
800 W BROAD ST SUITE 304
FALLS CHURCH, VA 22046-3142
Phone number: 703-237-3516
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