DR. Vidya R Colospate, DMD

NPI #1902026560 in Mc Lean, Virginia

Provider Information

NPI Number: 1902026560
Entity Type: Individual
Name: DR. Vidya R Colospate, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 26, 2007
Last Updated: Aug 6, 2014

Practice Location

Address: 6845 ELM ST
Address 2: SUITE 500
City: Mc Lean
State: Virginia
ZIP Code: 22101-6007
Phone: (703) 356-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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