IndividualActive
Carla Stephan
NPI 1982138376 · Pediatric Dentistry · Mc Lean, VA
Provider details
- NPI number
- 1982138376
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4804 (ZZ)
Practice location
1625 International Dr Unit 120
Mc Lean, VA 22102-4813
Phone: (202) 290-0356
Mailing address
1625 International Dr Unit 120
Mc Lean, VA 22102-4813
Registry dates
- Enumerated
- 2017-04-12
- Last updated
- 2017-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.