Dr. Justin DO
Dr. Justin DO is a General Practice Dentistry in Woodbridge, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2019
Practice location Address checks out
14007 Minnieville RdWoodbridge, VA 22193-2310
Phone: (703) 670-5414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0401416976 (VA) |
|---|
Record details
| NPI number | 1881258408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 29, 2019 |
| Last updated in NPPES | October 19, 2021 |
| Certification date | October 7, 2021 |
| Mailing address | 12809 Pilots Landing Way Apt Suite, Gaithersburg, MD 20878-6118 |
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