Britto, Mala Ann
Britto, Mala Ann is an individual health care provider with primary practice located at 4080 Lafayette Center Dr Suite 160B, Chantilly VA 20151-1247. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Britto, Mala Ann can be contacted via phone (703) 230-1000.Contact Information
Primary practice address
4080 Lafayette Center Dr Suite 160B
Chantilly VA 20151-1247
Phone: (703) 230-1000
Fax: (703) 230-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 0401410545 | Virginia |
Profile Details
| NPI number | 1386660769 |
|---|---|
| LBN Legal business name | Britto, Mala Ann |
| Credentials | D.D.S., M.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386660769 | NPPES |
| Virginia | MEDICAID | 9180684 |
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