Dellork, Richard
Dellork, Richard is an sole proprietor health care provider with primary practice located at 124 Park St Se Suite 205, Vienna VA 22180-4654. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Dellork, Richard can be contacted via phone (703) 281-5522.Contact Information
Primary practice address
124 Park St Se Suite 205
Vienna VA 22180-4654
Phone: (703) 281-5522
Fax: (703) 281-2142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 6478 | Virginia |
Profile Details
| NPI number | 1295758134 |
|---|---|
| LBN Legal business name | Dellork, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Aug 6th, 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.
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