| Endodontic Excellence | |
|
11800 Sunrise Valley Dr Ste 250 Reston VA 20191-5302 | |
| (703) 429-9926 | |
| Not Available |
| Full Name | Endodontic Excellence |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 11800 Sunrise Valley Dr Ste 250, Reston, Virginia |
| Authorized Official Name and Position | Wonhee Lee (OWNER) |
| Authorized Official Contact | 2028265134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Excellence 7480 Birdwood Ave Apt 1310 Mc Lean VA 22102-7468 Ph: (202) 826-5134 | Endodontic Excellence 11800 Sunrise Valley Dr Ste 250 Reston VA 20191-5302 Ph: (703) 429-9926 |
| NPI Number | 1750969143 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750969143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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