Village Oral And Implant Surgery
Specialty details in registry · Leesburg, VA
At a glance
1503 Dodona Terrace Sw, Leesburg, VA 20175
NPPES record updated Jun 7, 2013. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
1503 Dodona Terrace Sw 105Leesburg, VA 20175
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223S0112X
- Enumeration date
- Jun 7, 2013
- Record updated
- Jun 7, 2013
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
1223S0112X · Primary
License reported: 0401413779 VA
1223S0112X
License reported: 0401413499 VA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1503 Dodona Terrace Sw105
Leesburg, VA 20175
- Phone
- (855) 373-7688
Mailing address
1503 DODONA TERRACE SW105
LEESBURG, VA 20175
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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