Search › Virginia › 152W00000X
Stacey Tullis, O.D
NPI 1689056020 · on the registry since 2015 · sole proprietor
Practice
- Address
- 8651 John J Kingman Rd
Bldg 2321
Ft Belvoir, VA 22060 - Phone
- (703) 781-3695
- Organisation at this address
- Dentrust Dental Virginia, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-22
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