Commonwealth Of Virginia State Board Of Health
Public Health or Welfare in Leesburg, VA. Organization (NPI-2).
NPI number1457450421
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1457450421
- Entity type
- Organization (NPI-2)
- Legal business name
- Commonwealth Of Virginia State Board Of Health
- Organization subpart
- No
- Enumeration date
- Sep 22, 2006
- Last updated
- Feb 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | – | – | Yes |
Other names
- Loudoun County Health Department-Dental Clinic (Doing Business As)
Practice location
102 Heritage Way Ne1st Floor Suite #100
Leesburg, VA 20176
Phone 703-771-5830 · Fax 703-771-5550
Mailing address
Po Box 7000- Msc #68Leesburg, VA 20177-7000
Phone 703-771-5830 · Fax 703-771-5550
Authorized official
David Goodfriend
Director
7037715829
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