JACK DARRELL BLEDSOE

BURKE, VA
NPI1568595023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: VA  0401003077)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
Dr. JACK DARRELL BLEDSOE D.D.S.
9004 FERN PARK DR # A
BURKE, VA 22015-1655
Phone number: 703-978-0940
Mailing Address
Dr. JACK DARRELL BLEDSOE D.D.S.
8801 LYNNHURST DR
FAIRFAX, VA 22031-3224
Phone number: 703-280-2697
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