Individual provider · Type 1 NPI

Olmedo Ivan Villavicencio, DDS

General Practice Dentistry · Annandale, VA

NPI number 1013059450 Active

Practice location

7501 Little River Tpke Ste 105
Annandale, VA 22003-2923

Call (703) 354-2878 Map

Fax (703) 354-2712

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401007760 (VA)

General Practice Dentistry: 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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About NPI 1013059450

Olmedo Ivan Villavicencio, DDS's National Provider Identifier is 1013059450, issued on Feb 13, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Annandale, VA. The record was last updated on Jul 8, 2007.