| Bradley & Sevilla Dmd Pc | |
|
307 Maple Ave W Ste G Vienna VA 22180-4307 | |
| (703) 242-8416 | |
| Not Available |
| Full Name | Bradley & Sevilla Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 307 Maple Ave W Ste G, Vienna, Virginia |
| Authorized Official Name and Position | Maria Christina Sevilla (OWNER) |
| Authorized Official Contact | 7032428416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley & Sevilla Dmd Pc 307 Maple Ave W Ste G Vienna VA 22180-4307 Ph: (703) 242-8416 | Bradley & Sevilla Dmd Pc 307 Maple Ave W Ste G Vienna VA 22180-4307 Ph: (703) 242-8416 |
| NPI Number | 1699889782 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699889782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0400017414 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 0400017415 (Virginia) | Secondary |
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