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General NPI Number Information
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NPI Number | 1275716581
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Entity Type | Organization
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Legal Business Name | J. DANIEL LABRIOLA DDS AND DAVID J CANTOR DMD PC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7611 LITTLE RIVER TPKE SUITE 101-E
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City | ANNANDALE
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State | VA
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Zip | 22003-2611
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Country | US
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Telephone | 703-256-2307
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Fax | 703-256-3230
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Provider Business Mailing Address
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Address Line | 7611 LITTLE RIVER TPKE SUITE 101-E
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City | ANNANDALE
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State | VA
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Zip | 22003-2611
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Country | US
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Telephone | 703-256-2307
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Fax | 703-256-3230
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Authorized Official
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Title or Position | PARTNER
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Name | DR. J. DANIEL LABRIOLA
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Credential | DDS
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Telephone | 703-256-2307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | VA
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