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1609903939
RUSSELL ANTHONY DECARLO
ALEXANDRIA, VA
NPI
1609903939
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Professional Name
RUSSELL A DECARLO DDS PC
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 3829)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- RUSSELL ANTHONY DECARLO DDS
4601D PINECREST OFFICE PARK DRIVE SUITE D
ALEXANDRIA, VA 22312-1442
Phone number: 703-642-1400
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Mailing Address
-- RUSSELL ANTHONY DECARLO DDS
4601D PINECREST OFFICE PARK DRIVE SUITE D
ALEXANDRIA, VA 22312-1442
Phone number: 703-642-1400
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