A Wink And A Smile | |
19369 Promenade Dr K102 Lansdowne VA 20176-6501 | |
(571) 333-1250 | |
(571) 333-1251 |
Full Name | A Wink And A Smile |
---|---|
Speciality | Dentist |
Location | 19369 Promenade Dr, Lansdowne, Virginia |
Authorized Official Name and Position | Leonardo Eun Lee (OWNER) |
Authorized Official Contact | 5713331250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Wink And A Smile 19369 Promenade Dr K102 Lansdowne VA 20176-6501 Ph: (571) 333-1250 | A Wink And A Smile 19369 Promenade Dr K102 Lansdowne VA 20176-6501 Ph: (571) 333-1250 |
NPI Number | 1952593899 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 12/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952593899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401410650 (Virginia) | Primary |
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