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NPI Code Detail

MEDICARE: DR. KRISTEN ALYCE DONOHUE D.M.D.

MEDICARE:  DR. KRISTEN ALYCE DONOHUE  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401411397VA

General Provider Information

NPI Number : 1841483021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN ALYCE DONOHUE D.M.D.
Provider Business Mailing Address
First Line : 8409 MOREY LN
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22308-1945
Country : US
Telephone Number : 703-763-4491
Fax Number :
Provider Business Practice Location Address
First Line : 8808 PEAR TREE VILLAGE CT # F
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22309-4221
Country : US
Telephone Number : 703-780-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2007
Last Update Date : 08/22/2007

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Directions to “ DR. KRISTEN ALYCE DONOHUE D.M.D.” Practice Location

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