NPI 1174549265
Dalewood Medical Ent
Practice location
- Address
- 4158 Dale Blvd, Dale City, VA 22193-2225
- Phone
- (703) 680-5959
- Fax
- (703) 730-1046
Authorised official
- Name
- Jennifer Kulak
- Title
- Office Manager
- Phone
- (703) 680-5959
Registered specialties
Legal Medicine
Primary
Registry record
- NPI
- 1174549265
- Entity type
- Organization
- NPI issued
- 14 Jul 2006
- Record last updated
- 27 Dec 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.