| Leesburg Modern Dentistry, Pc | |
|
502 E Market St Leesburg VA 20176-4112 | |
| (571) 899-4713 | |
| (571) 982-7616 |
| Full Name | Leesburg Modern Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 502 E Market St, Leesburg, Virginia |
| Authorized Official Name and Position | Ali Shahrestani (OWNER DOCTOR) |
| Authorized Official Contact | 5718994713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Modern Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Leesburg Modern Dentistry, Pc 502 E Market St Leesburg VA 20176-4112 Ph: (571) 899-4713 |
| NPI Number | 1932837101 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932837101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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