Dr. Ricardo Gaitan

NPI #1437326006 in Sterling, Virginia

Provider Information

NPI Number: 1437326006
Entity Type: Organization
Organization Name: Dr. Ricardo Gaitan
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 13, 2008
Last Updated: May 13, 2008

Practice Location

Address: 21525 RIDGETOP CIR
Address 2: SUITE #220
City: Sterling
State: Virginia
ZIP Code: 20166-6510
Phone: (703) 450-5302

Authorized Official

Name: DR. RICARDO MOISES GAITAN, DDS/PC
Title: DENTAL
Phone: (703) 450-5302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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