| Elaine K. Sours, D.d.s., P.c. | |
|
8719 Plantation Lane Manassas VA 20110 | |
| (703) 369-5544 | |
| (703) 361-3680 |
| Full Name | Elaine K. Sours, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8719 Plantation Lane, Manassas, Virginia |
| Authorized Official Name and Position | Elaine Keith Sours (OWNER/DENTIST) |
| Authorized Official Contact | 7033695544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine K. Sours, D.d.s., P.c. 8719 Plantation Lane Manassas VA 20110 Ph: (703) 369-5544 | Elaine K. Sours, D.d.s., P.c. 8719 Plantation Lane Manassas VA 20110 Ph: (703) 369-5544 |
| NPI Number | 1750868097 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750868097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 401005467 (Virginia) | Primary |
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