| Jason W. Dulac, DDS, PLLC | |
|
6124 Brandon Ave Springfield VA 22150-2610 | |
| (703) 451-4500 | |
| (703) 451-7164 |
| Full Name | Jason W. Dulac, DDS, PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6124 Brandon Ave, Springfield, Virginia |
| Authorized Official Name and Position | Jason William Dulac (OWNER) |
| Authorized Official Contact | 6163407674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason W. Dulac, DDS, PLLC 6124 Brandon Ave Springfield VA 22150-2610 Ph: (703) 451-4500 | Jason W. Dulac, DDS, PLLC 6124 Brandon Ave Springfield VA 22150-2610 Ph: (703) 451-4500 |
| NPI Number | 1528501988 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528501988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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