| |
230 Fort Evans Rd Leesburg VA 20176 | |
(703) 777-1515 | |
(703) 777-7202 |
Full Name | |
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Speciality | Dentist |
Location | 230 Fort Evans Rd, Leesburg, Virginia |
Authorized Official Name and Position | Ronald V Buro (DENTIST) |
Authorized Official Contact | 7037771515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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230 Fort Evans Rd Ne Leesburg VA 20176-4497 Ph: (703) 777-1515 | 230 Fort Evans Rd Leesburg VA 20176 Ph: (703) 777-1515 |
NPI Number | 1952731796 |
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Provider Enumeration Date | 11/14/2013 |
Last Update Date | 11/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952731796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 0401410970 (Virginia) | Primary |
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