Mauricio Colomo

NPI #1215306915 in Vienna, Virginia

Provider Information

NPI Number: 1215306915
Entity Type: Individual
Name: Mauricio Colomo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 8304-C OLD CORTHOUSE RD,
Address 2: TYSON'SCORNER DENTAL ART CENTER
City: Vienna
State: Virginia
ZIP Code: 22182
Phone: (703) 356-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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