| Leesburg Family Dentistry | |
|
21 Fort Evans Rd Ne Ste E Leesburg VA 20176-4488 | |
| (703) 777-7307 | |
| Not Available |
| Full Name | Leesburg Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Fort Evans Rd Ne Ste E, Leesburg, Virginia |
| Authorized Official Name and Position | Mauricio Garcia (GENERAL DENTIST) |
| Authorized Official Contact | 7037777307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Family Dentistry 21 Fort Evans Rd Ne Ste E Leesburg VA 20176-4488 Ph: (703) 777-7307 | Leesburg Family Dentistry 21 Fort Evans Rd Ne Ste E Leesburg VA 20176-4488 Ph: (703) 777-7307 |
| NPI Number | 1174952683 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174952683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401413936 (Virginia) | Primary |
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