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Mauricio Colomo

NPI 1215306915 · on the registry since 2015 · sole proprietor

Practice

Address
8304-C Old Corthouse Rd,
Tyson'Scorner Dental Art Center
Vienna, VA 22182
Phone
(703) 356-1200
Fax
(703) 356-6742

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-23

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