Jessica Paola Sugajara Mitsuzuka, D.D.S.

Dentist · Stafford, VA

Individual Active NPI

NPI number 1538392162

Practice location

385 Garrisonville Rd Suite 108
Stafford, VA 22554
Phone
(540) 657-7645
Fax
(540) 657-1009

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NPI record

NPI
1538392162
Entity type
Individual (Type 1)
Enumeration date
August 31, 2009
Last updated
December 9, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401413419 VA

Mailing address

385 Garrisonville Rd Siute 108
Stafford, VA 22554
Phone
(540) 657-7645
Fax
(540) 657-1009

About Dr. Sugajara Mitsuzuka

Jessica Paola Sugajara Mitsuzuka, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 385 Garrisonville Rd Suite 108, Stafford, VA 22554. The NPI number 1538392162 was assigned on August 31, 2009 and the record was last updated on December 9, 2016.

Dr. Sugajara Mitsuzuka lists a license in the registry: #0401413419 (VA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Paola Sugajara Mitsuzuka, D.D.S.?

The NPI number is 1538392162.

What is the phone number of Dr. Sugajara Mitsuzuka?

The phone number listed for the practice location is (540) 657-7645.

Where is Dr. Sugajara Mitsuzuka located?

385 Garrisonville Rd Suite 108, Stafford, VA 22554.

What is the taxonomy code for Dr. Sugajara Mitsuzuka?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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