| Leesburg Dental Group Pllc | |
|
19 Catoctin Cir Ne Leesburg VA 20176-3100 | |
| (703) 737-0070 | |
| Not Available |
| Full Name | Leesburg Dental Group Pllc |
|---|---|
| Speciality | Dentist |
| Location | 19 Catoctin Cir Ne, Leesburg, Virginia |
| Authorized Official Name and Position | Geith Kallas (OWNER) |
| Authorized Official Contact | 7036223300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Dental Group Pllc 8310 Old Courthouse Rd Ste A Vienna VA 22182-3872 Ph: () - | Leesburg Dental Group Pllc 19 Catoctin Cir Ne Leesburg VA 20176-3100 Ph: (703) 737-0070 |
| NPI Number | 1063113199 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063113199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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