| Kravitz Orthodonitcs | |
|
20405 Exchange St Ste 210 Ashburn VA 20147-5934 | |
| (703) 729-0350 | |
| Not Available |
| Full Name | Kravitz Orthodonitcs |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 20405 Exchange St Ste 210, Ashburn, Virginia |
| Authorized Official Name and Position | Neal Kravitz (OWNER) |
| Authorized Official Contact | 5712061395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kravitz Orthodonitcs 20405 Exchange St Ste 210 Ashburn VA 20147-5934 Ph: (703) 729-0350 | Kravitz Orthodonitcs 20405 Exchange St Ste 210 Ashburn VA 20147-5934 Ph: (703) 729-0350 |
| NPI Number | 1285040501 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285040501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 401411350 (Virginia) | Primary |
| 261QD0000X | Clinic/center - Dental | 040143294 (Virginia) | Secondary |
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