Philip John Tomaselli JR., DDS

NPI #1407969280 in Burke, Virginia

Provider Information

NPI Number: 1407969280
Entity Type: Individual
Name: Philip John Tomaselli JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5631 BURKE CENTRE PARKWAY SUITE N
City: Burke
State: Virginia
ZIP Code: 22015
Phone: (703) 425-4225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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