Provider First Line Business Practice Location Address:
810 VERMONT AVE
Provider Second Line Business Practice Location Address:
VACO OFFICE OF DENTISTRY (112D)
Provider Business Practice Location Address City Name:
WASHINGTON, DC
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-273-8503
Provider Business Practice Location Address Fax Number:
202-273-9105
Provider Enumeration Date:
07/05/2006