| Richard J. Dellork, Dds | |
|
124 Park St Se Suite 205 Vienna VA 22180-4654 | |
| (703) 281-5522 | |
| Not Available |
| Full Name | Richard J. Dellork, Dds |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 124 Park St Se, Vienna, Virginia |
| Authorized Official Name and Position | Richard J Dellork (SOLE PROPRIETOR) |
| Authorized Official Contact | 7032815522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Dellork, Dds 124 Park St Se Suite 205 Vienna VA 22180-4654 Ph: () - | Richard J. Dellork, Dds 124 Park St Se Suite 205 Vienna VA 22180-4654 Ph: (703) 281-5522 |
| NPI Number | 1689865578 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689865578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 6478 (Virginia) | Primary |
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