NPI 1366262909

Eutopia Medical Dermatology and Aesthetics PLLC

Organisation Dermatology Physician Fairfax, VA

Practice location

Address: 4211 Fairfax Corner Ave E STE 225, Fairfax, VA 22030-8623
Phone: (703) 278-2473
Fax: (703) 239-4857

Authorised official

Name: Etsubdenk Mezemir Ajebo
Title: Dermatologist
Phone: (703) 278-2473

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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Registry record

NPI: 1366262909
Entity type: Organization
NPI issued: 16 Oct 2024
Record last updated: 10 Feb 2026

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.