Sergio Fabian Calleja Blanco, DDS

NPI #1255824371 in Annandale, Virginia

Provider Information

NPI Number: 1255824371
Entity Type: Individual
Name: Sergio Fabian Calleja Blanco, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Jun 13, 2018
Last Updated: Apr 7, 2025

Practice Location

Address: 7611 LITTLE RIVER TPKE STE 101E
City: Annandale
State: Virginia
ZIP Code: 22003-2630
Phone: (703) 634-4195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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