RUSSELL ANTHONY DECARLO

ALEXANDRIA, VA
NPI1609903939
Professional NameRUSSELL A DECARLO DDS PC
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: VA  3829)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
-- RUSSELL ANTHONY DECARLO DDS
4601D PINECREST OFFICE PARK DRIVE SUITE D
ALEXANDRIA, VA 22312-1442
Phone number: 703-642-1400
Mailing Address
-- RUSSELL ANTHONY DECARLO DDS
4601D PINECREST OFFICE PARK DRIVE SUITE D
ALEXANDRIA, VA 22312-1442
Phone number: 703-642-1400