| Dba Elite Smiles Dental | |
|
552 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 | |
| (703) 771-9494 | |
| Not Available |
| Full Name | Dba Elite Smiles Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 552 Fort Evans Rd, Leesburg, Virginia |
| Authorized Official Name and Position | Chetana Anne Saxena (C.E.O) |
| Authorized Official Contact | 7037719494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Elite Smiles Dental 552 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 Ph: (703) 771-9494 | Dba Elite Smiles Dental 552 Fort Evans Rd Suite 100 Leesburg VA 20176-4098 Ph: (703) 771-9494 |
| NPI Number | 1508001314 |
|---|---|
| Provider Enumeration Date | 12/08/2008 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508001314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410456 (Virginia) | Primary |
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