Provider Demographics
NPI:1669570586
Name:ZALEWSKY, JUSTIN D (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:D
Last Name:ZALEWSKY
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4660 KENMORE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1313
Mailing Address - Country:US
Mailing Address - Phone:703-823-2422
Mailing Address - Fax:703-842-8671
Practice Address - Street 1:4660 KENMORE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1313
Practice Address - Country:US
Practice Address - Phone:703-823-2422
Practice Address - Fax:703-842-8671
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCDEN10004911223P0300X
VA04014129981223P0300X
PADS0365451223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics