Provider Demographics
NPI:1245447150
Name:KARAU, MARY ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ANN
Last Name:KARAU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1213 BELLE HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22307-1218
Mailing Address - Country:US
Mailing Address - Phone:703-765-5505
Mailing Address - Fax:703-765-0965
Practice Address - Street 1:1213 BELLE HAVEN RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22307-1218
Practice Address - Country:US
Practice Address - Phone:703-765-5505
Practice Address - Fax:703-765-0965
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010064721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics