Stephanie Kathleen Bomar D.M.D.

NPI 1144557711 - Dentist - 1223G0001X

NPI Details
NPI 1144557711
Gender Female
Enumeration Date 11/03/2009
Last Updated 11/03/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1110 ELDEN ST
SUITE E108
HERNDON VA, 20170-5529, US
Phone (703) 318-7200
Fax (703) 318-8668
Business Location
1110 ELDEN ST
SUITE E108
HERNDON VA, 20170-5529, US
Phone (703) 318-7200
Fax (703) 318-8668
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401411116
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According to our database, Dr. Stephanie Kathleen Bomar D.M.D. NPI is 1144557711, taxonomy code is 1223G0001X and license number is 0401411116, license state is located at Virginia. Stephanie Kathleen Bomar D.M.D. physically located at 1110 Elden St, Herndon VA, 20170-5529. NPI Number Stephanie Kathleen Bomar D.M.D. has the Individual type.

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1144557711 NPI number is provided on an as is basis without warranty of any kind. 1144557711 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Kathleen Bomar D.M.D. are for informational purposes only.