The Virginia Endodontic Group - Loudoun
Clinic/Center, Dental in Lansdowne, VA. Organization (NPI-2).
NPI number1982160149
StatusActive
Last updated in NPPESFeb 13, 2019
Details
- NPI
- 1982160149
- Entity type
- Organization (NPI-2)
- Legal business name
- The Virginia Endodontic Group - Loudoun
- Organization subpart
- Yes
- Enumeration date
- Feb 13, 2019
- Last updated
- Feb 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
19500 Sandridge Way Ste 270Lansdowne, VA 20176-3693
Phone 703-922-9040
Mailing address
6831 Sir Viceroy Dr Ste 210Alexandria, VA 22315-3719
Authorized official
Tu-Son Ngo
Owner
7039229040
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