Healthcare Provider Details

I. General information

NPI: 1720762990
Provider Name (Legal Business Name): DRS. LINDA WU & ROSARIO PALABRICA, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 WILSON BLVD STE 640
ARLINGTON VA
22209-2596
US

IV. Provider business mailing address

1600 WILSON BLVD STE 640
ARLINGTON VA
22209-2596
US

V. Phone/Fax

Practice location:
  • Phone: 703-524-0288
  • Fax: 703-524-0137
Mailing address:
  • Phone: 703-524-0288
  • Fax: 703-524-0137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSARIO TORRALBA PALABRICA
Title or Position: DDS
Credential:
Phone: 703-524-0288