Stanley Idiculla, DPM

NPI 1043274368 · on the registry since 2006

Practice

Address: 112 Elden St
Suite D
Herndon, VA 20170
Phone: (703) 437-5353
Organisation at this address: Robert B. Bronfman
Lina Jameel Dds Pllc
Anh P Dang-Vu, Md, Pc
Nova Foot And Ankle Pllc
Lana Soules D.D.S., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 213ES0131X
213ES0131X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia