| Lana Soules D.d.s., Inc. | |
|
112 Elden St Suite S Herndon VA 20170-4874 | |
| (703) 787-3585 | |
| (703) 787-9887 |
| Full Name | Lana Soules D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Lana Soules (PRESIDENT) |
| Authorized Official Contact | 7037873585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Soules D.d.s., Inc. 112 Elden St Suite S Herndon VA 20170-4874 Ph: (703) 787-3585 | Lana Soules D.d.s., Inc. 112 Elden St Suite S Herndon VA 20170-4874 Ph: (703) 787-3585 |
| NPI Number | 1821213984 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821213984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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