Individual provider · Type 1 NPI

Sergio Fabian Calleja Blanco, DDS

Oral and Maxillofacial Surgery (Dentist) · Annandale, VA

NPI number 1255824371 Active

Practice location

7611 Little River Tpke Ste 101E
Annandale, VA 22003-2630

Mailing address

325 W Lake Lansing Rd
East Lansing, MI 48823-8524

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901022647 (MI)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901022647 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1255824371

Sergio Fabian Calleja Blanco, DDS's National Provider Identifier is 1255824371, issued on Jun 13, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Annandale, VA. The record was last updated on Apr 7, 2025.