IndividualActive
Bolivia Pereira Hurtado, DDS
NPI 1669024428 · Dentist · Quantico, VA
Provider details
- NPI number
- 1669024428
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 35420 (TX)
Specialties & taxonomies
Dental Providers
Practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Phone: (703) 784-1725
Approximate (ZIP-level) locationGet directions
Mailing address
25798 S Village Dr
Chantilly, VA 20152-6338
Additional practice locations (2)
- 2303 92136, 2309 Doyle StSan Diego, CA 92136-0001Phone: (619) 556-8240
- 674 Boulevard De FranceBeaufort, SC 29905Phone: (843) 228-3500
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.