| Dr. Deidra B Kokel Dds Pc | |
|
17 C Fort Evans Road Ne Leesburg VA 20176 | |
| (703) 777-5025 | |
| (703) 777-4106 |
| Full Name | Dr. Deidra B Kokel Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 17 C Fort Evans Road Ne, Leesburg, Virginia |
| Authorized Official Name and Position | Deirdra B Kokel (OWNER) |
| Authorized Official Contact | 7037775025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Deidra B Kokel Dds Pc 17 C Fort Evans Road Ne Leesburg VA 20176 Ph: (703) 777-5025 | Dr. Deidra B Kokel Dds Pc 17 C Fort Evans Road Ne Leesburg VA 20176 Ph: (703) 777-5025 |
| NPI Number | 1962500462 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962500462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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