Dr. Ricardo Gaitan | |
21525 Ridgetop Cir Suite #220 Sterling VA 20166-6510 | |
(703) 450-5302 | |
(703) 450-5694 |
Full Name | Dr. Ricardo Gaitan |
---|---|
Speciality | Clinic/center - Dental |
Location | 21525 Ridgetop Cir, Sterling, Virginia |
Authorized Official Name and Position | Ricardo Moises Gaitan (DENTAL) |
Authorized Official Contact | 7034505302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Ricardo Gaitan 21525 Ridgetop Cir Suite #220 Sterling VA 20166-6510 Ph: (703) 450-5302 | Dr. Ricardo Gaitan 21525 Ridgetop Cir Suite #220 Sterling VA 20166-6510 Ph: (703) 450-5302 |
NPI Number | 1437326006 |
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Provider Enumeration Date | 05/13/2008 |
Last Update Date | 05/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437326006 | NPI | - | NPPES |
203535828 | Other | VA | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 0401008771 (Virginia) | Primary |
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