ALEXANDRIA ORAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1770707572- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4825 MARK CENTER DR SUITE 420, ALEXANDRIA, VA, 22311
- Phone
- (703) 370-3012
- Fax
- (571) 512-5856
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: VA #05390