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Dr. Olmedo Ivan Villavicencio, DDS
General Practice Dentistry in Annandale, Virginia
NPI 1013059450

Olmedo Ivan Villavicencio is a General Practice Dentistry based in Annandale, VA and is specialized in General Practice. Olmedo Ivan Villavicencio practices in Annandale, VA and has the professional credentials of DDS. The NPI Number for Olmedo Ivan Villavicencio is 1013059450 and holds a License No. 0401007760 (Virginia).

The current practice location address for Olmedo Ivan Villavicencio is 7501 Little River Tpke Ste 105, Annandale, VA and can be reached out via phone at 703-354-2878 and via fax at 703-354-2712.

Location: 7501 Little River Tpke Ste 105, Annandale, VA, 22003-2923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013059450
Provider Name
Olmedo Ivan Villavicencio
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7501 Little River Tpke Ste 105, Annandale, VA, 22003-2923
Phone Number
703-354-2878
Fax Number
703-354-2712
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7501 Little River Tpke Ste 105
City
Annandale
State
Virginia
Zip
22003-2923
Phone Number
703-354-2878
Fax Number
703-354-2712
person
Provider Business Mailing Address Details
Address
7501 Little River Tpke Ste 105
City
Annandale
State
Virginia
Zip
22003-2923
Phone Number
703-354-2878
Fax Number
703-354-2712
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401007760 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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