Decarlo, Russell Anthony
Decarlo, Russell Anthony is an sole proprietor health care provider with primary practice located at 4601D Pinecrest Office Park Drive Suite D, Alexandria VA 22312-1442. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Decarlo, Russell Anthony can be contacted via phone (703) 642-1400.Contact Information
Primary practice address
4601D Pinecrest Office Park Drive Suite D
Alexandria VA 22312-1442
Phone: (703) 642-1400
Fax: (703) 642-5759
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 3829 | Virginia |
Profile Details
NPI number | 1609903939 |
---|---|
LBN Legal business name | Decarlo, Russell Anthony |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 27th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
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