MEDICARE: ANA MARIA ARANGO DDS

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
1	1223G0001X	General Practice Dentistry	0401412379	VA

General Provider Information

NPI Number	:	1669614046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA ARANGO DDS

Provider Business Mailing Address
First Line	:	6303 LITTLE RIVER TPKE STE 140
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5045
Country	:	US
Telephone Number	:	703-256-7700
Fax Number	:	703-642-1367

Provider Business Practice Location Address
First Line	:	6303 LITTLE RIVER TPKE STE 140
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5045
Country	:	US
Telephone Number	:	703-256-7700
Fax Number	:	703-642-1367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	09/15/2021

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