Most Relevant Information
Provider Data
| NPI Number: | 1003597436 |
| Provider Name: | GIANANDREA RIBEIRO WOTFE DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401418358 |
Most Important Dates
| Enumeration Date: | 07/27/2023 |
| Last Updated: | 07/27/2023 |
Provider Practice Location
105 N VIRGINIA AVE
FALLS CHURCH
VA
220463339
Practice Location Phone/Fax
| Phone: | 7035337285 |
| Fax: | 7035337287 |
Provider Mailing Location
1115 RIVA RIDGE DR
GREAT FALLS
VA
220661616
Provider Mailing Phone/Fax
| Phone: | 4255205237 |
| Fax: |