SERGIO FABIAN CALLEJA BLANCO DDS
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1255824371- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 7611 LITTLE RIVER TPKE STE 101E, ANNANDALE, VA, 220032630
- Phone
- (703) 634-4195
Specialties & Taxonomies
Dentist
License: MI #2901022647
Dentist, Oral and Maxillofacial Surgery
Primary License: MI #2901022647