person
Gary Ellenbogen, DDS
General Practice Dentistry in Vienna, Virginia
NPI 1770653495

Gary Ellenbogen is a General Practice Dentistry based in Vienna, VA and is specialized in General Practice. Gary Ellenbogen practices in Vienna, VA and has the professional credentials of DDS. The NPI Number for Gary Ellenbogen is 1770653495 and holds a License No. 5562 (Virginia).

The current practice location address for Gary Ellenbogen is 8100 Boone Blvd, Vienna, VA and can be reached out via phone at 703-734-1095 and via fax at 703-714-9330. You can also correspond with Gary Ellenbogen through the mailing address at 8100 BOONE BLVD, VIENNA, VA - 22182-2665 (mailing address contact number: 703-734-1095).

Location: 8100 Boone Blvd, Vienna, VA, 22182-2665
person
Provider Profile Details
NPI Number
1770653495
Provider Name
Gary Ellenbogen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8100 Boone Blvd, Vienna, VA, 22182-2665
Phone Number
703-734-1095
Fax Number
703-714-9330
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
8100 Boone Blvd
City
State
Zip
22182-2665
Phone Number
703-734-1095
Fax Number
703-714-9330
person
Provider Business Mailing Address Details
Address
8100 Boone Blvd
City
State
Zip
22182-2665
Phone Number
703-734-1095
Fax Number
703-714-9330
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5562 (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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