| Dr. Mark Luposello And Dr. Robert Marzban | |
|
6858 Old Dominion Dr Suite 100 Mc Lean VA 22101-3899 | |
| (703) 356-8787 | |
| (703) 442-4868 |
| Full Name | Dr. Mark Luposello And Dr. Robert Marzban |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6858 Old Dominion Dr, Mc Lean, Virginia |
| Authorized Official Name and Position | Robert Marzban (VICE PRESIDENT) |
| Authorized Official Contact | 7033568781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mark Luposello And Dr. Robert Marzban 6858 Old Dominion Dr Suite 100 Mc Lean VA 22101-3899 Ph: (703) 356-8787 | Dr. Mark Luposello And Dr. Robert Marzban 6858 Old Dominion Dr Suite 100 Mc Lean VA 22101-3899 Ph: (703) 356-8787 |
| NPI Number | 1720279961 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720279961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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