Provider Demographics
NPI:1023995735
Name:JURJ, MARIANA VALERIA
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:VALERIA
Last Name:JURJ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3481 LACROSSE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-1050
Mailing Address - Country:US
Mailing Address - Phone:540-522-0365
Mailing Address - Fax:
Practice Address - Street 1:3481 LACROSSE CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-1050
Practice Address - Country:US
Practice Address - Phone:540-522-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist