| Dr Olmedo Ivan Villavicencio, DDS | |
|
7501 Little River Tpke Ste 105, Annandale, VA 22003-2923 | |
| (703) 354-2878 | |
| (703) 354-2712 |
| Full Name | Dr Olmedo Ivan Villavicencio |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 7501 Little River Tpke Ste 105, Annandale, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013059450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007760 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olmedo Ivan Villavicencio, DDS 7501 Little River Tpke Ste 105, Annandale, VA 22003-2923 Ph: (703) 354-2878 | Dr Olmedo Ivan Villavicencio, DDS 7501 Little River Tpke Ste 105, Annandale, VA 22003-2923 Ph: (703) 354-2878 |
Dr. Eul-mo Kang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4540a John Marr Dr, Annandale, VA 22003 Phone: 703-333-3016 Fax: 703-333-3018 | |
Dr. Lynn M Farrey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4322 Ravensworth Rd, Annandale, VA 22003 Phone: 703-256-5870 | |
Dr. John Douglas Wooddell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3299 Woodburn Rd, Ste 440, Annandale, VA 22003 Phone: 703-698-9698 Fax: 703-849-0935 | |
Dr. Henry Insuk Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7611 Little River Tpke, Suite 106w, Annandale, VA 22003 Phone: 703-750-0110 Fax: 703-750-1211 | |
Dr. Meghan J. Lindgren, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4600 John Marr Dr, Annandale, VA 22003 Phone: 703-750-9393 Fax: 703-750-5420 | |
Dr. Jonathan B Vo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7519 Little River Tpke Apt T-1, Annandale, VA 22003 Phone: 571-299-0655 |