| Leesburg Dental And Orthodontics, Pllc | |
|
135 Robinson Mill Plz Se Ste 108 Leesburg VA 20175-4797 | |
| (703) 347-1282 | |
| Not Available |
| Full Name | Leesburg Dental And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 135 Robinson Mill Plz Se Ste 108, Leesburg, Virginia |
| Authorized Official Name and Position | Zack Hicham Mekouar (PRESIDENT) |
| Authorized Official Contact | 7033471282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Dental And Orthodontics, Pllc 9616 Georgetown Pike Great Falls VA 22066-2638 Ph: (703) 347-1282 | Leesburg Dental And Orthodontics, Pllc 135 Robinson Mill Plz Se Ste 108 Leesburg VA 20175-4797 Ph: (703) 347-1282 |
| NPI Number | 1437865342 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437865342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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