Provider Demographics
NPI:1457926693
Name:PEREZ TORREALBA, VIRGINIA ISABEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:ISABEL
Last Name:PEREZ TORREALBA
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 1:803 SYCAMORE CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5466
Mailing Address - Country:US
Mailing Address - Phone:703-731-8402
Mailing Address - Fax:
Practice Address - Street 1:1330 NEW HAMPSHIRE AVE NW STE B3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6300
Practice Address - Country:US
Practice Address - Phone:022-290-3934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-20
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN2000222122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist