MEDICARE: DR. ANGELICA FIGUEROA DMD

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	122300000X	Dentist	DEN10000422	DC

General Provider Information

NPI Number	:	1821086935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELICA FIGUEROA DMD

Provider Business Mailing Address
First Line	:	8606 WESTERN OAK DR
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22153-3555
Country	:	US
Telephone Number	:	703-692-8700
Fax Number	:	703-692-6123

Provider Business Practice Location Address
First Line	:	5802 ARMY PENTAGON
Second Line	:	RM MG942C.1
City	:	WASHINGTON
State	:	DC
Zip	:	20310-5802
Country	:	US
Telephone Number	:	703-692-8700
Fax Number	:	703-692-6123

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	07/08/2007

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