| Cornerstone Dental | |
|
2 Cardinal Park Dr Se Ste 206a Leesburg VA 20175-4401 | |
| (703) 771-3389 | |
| (703) 771-8242 |
| Full Name | Cornerstone Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Cardinal Park Dr Se Ste 206a, Leesburg, Virginia |
| Authorized Official Name and Position | Sue K Moon (DOCTOR) |
| Authorized Official Contact | 7037713389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dental 2 Cardinal Park Dr Se Ste 206a Leesburg VA 20175-4401 Ph: (703) 771-3389 | Cornerstone Dental 2 Cardinal Park Dr Se Ste 206a Leesburg VA 20175-4401 Ph: (703) 771-3389 |
| NPI Number | 1922345016 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922345016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410385 (Virginia) | Primary |
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