Provider Demographics
NPI:1124287305
Name:LEAL, ANN MARIE DOLAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:DOLAN
Last Name:LEAL
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:6699 SPRINGFIELD CENTER DR
Mailing Address - Street 2:NVCC - MEC - DENTAL CLINIC
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1913
Mailing Address - Country:US
Mailing Address - Phone:703-822-6655
Mailing Address - Fax:703-822-6610
Practice Address - Street 1:6699 SPRINGFIELD CENTER DR
Practice Address - Street 2:NVCC - MEC - DENTAL CLINIC
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1913
Practice Address - Country:US
Practice Address - Phone:703-822-6655
Practice Address - Fax:703-822-6610
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0401411366122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist