Gotsiridze, George
Gotsiridze, George is an sole proprietor health care provider with primary practice located at 12919 Alton Sq Apt #209 , Herndon VA 20170. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gotsiridze, George can be contacted via phone (781) 249-2087.Contact Information
Primary practice address
12919 Alton Sq Apt #209
Herndon VA 20170
Phone: (781) 249-2087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401413621 | Virginia |
Profile Details
| NPI number | 1316209620 |
|---|---|
| LBN Legal business name | Gotsiridze, George |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Jun 12th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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