Olmedo Ivan Villavicencio, DDS

Practice location

Address

7501 Little River Tpke STE 105, Annandale, VA 22003-2923

Phone

(703) 354-2878

Fax

(703) 354-2712

Registered specialties

Registry record

NPI

1013059450

Entity type

Individual

Sex (as registered)

Male

NPI issued

13 Feb 2007

Record last updated

8 Jul 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.