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1659446961
GLENN DAVID GERALD
VIENNA, VA
NPI
1659446961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401006015)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Dr. GLENN DAVID GERALD D.D.S.
2573 CHAIN BRIDGE RD
VIENNA, VA 22181-5576
Phone number: 703-281-0041
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Mailing Address
Dr. GLENN DAVID GERALD D.D.S.
11420 MEADOW LAKE CT
OAKTON, VA 22124-1157
Phone number: 703-264-0924
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