DR. Jessica Russo Revand, DMD, MS

NPI #1770712705 in Alexandria, Virginia

Provider Information

NPI Number: 1770712705
Entity Type: Individual
Name: DR. Jessica Russo Revand, DMD, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: DMD, MS
Enumeration Date: Jul 13, 2009
Last Updated: Jul 13, 2009

Practice Location

Address: 4660 KENMORE AVE
Address 2: SUITE 700
City: Alexandria
State: Virginia
ZIP Code: 22304-1313
Phone: (703) 370-1327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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