SERGIO CALLEJA BLANCO, DDS

Oral and Maxillofacial Surgery (Dentist) · ANNANDALE, VA

Individual Active Opted out of Medicare NPI 1255824371

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X2901022647MI
Dentist122300000X2901022647MI

Medicare eligibility

Opted out of Medicare (Oral Surgery), effective 2026-02-01 through 2028-02-01.

Other Oral and Maxillofacial Surgery (Dentist) providers in Virginia

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.