Aesthetic Center for Plastic Surgery

NPI #1134619166 in Mc Lean, Virginia

Provider Information

NPI Number: 1134619166
Entity Type: Organization
Organization Name: Aesthetic Center for Plastic Surgery
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Enumeration Date: May 15, 2018
Last Updated: May 15, 2018

Practice Location

Address: 6845 ELM ST STE 708
City: Mc Lean
State: Virginia
ZIP Code: 22101-3851
Phone: (703) 893-1111

Authorized Official

Name: DR. GLORIA DUDA, M.D.
Title: PRESIDENT
Phone: (703) 893-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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