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Jessica Russo Revand, DMD, MS
NPI 1770712705 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4660 Kenmore Ave
Suite 700
Alexandria, VA 22304 - Phone
- (703) 370-1327
- Fax
- (703) 370-1907
- Organisation at this address
- Wagoner Llc
Niyadell, Inc
Sonus-Usa, Inc.
Nova Surgery Llc
John C Yi Dds PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 163
Registry record
- Primary taxonomy
- Endodontics
1223E0200X
- Also registered as
- Endodontics
Endodontics - Licence states on file
- VA, DC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-13
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