Provider Demographics
NPI:1316200207
Name:VILLARROEL-SOTO, CLAUDIA CECILIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:CECILIA
Last Name:VILLARROEL-SOTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15320 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2325
Mailing Address - Country:US
Mailing Address - Phone:240-899-8273
Mailing Address - Fax:
Practice Address - Street 1:5827 COLUMBIA PIKE STE 405
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2027
Practice Address - Country:US
Practice Address - Phone:703-820-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-17
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014134791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice