| Legacy Orthodontics, Plc | |
|
540 Fort Evans Rd 102 Leesburg VA 20176-3379 | |
| (703) 777-8277 | |
| (703) 777-8872 |
| Full Name | Legacy Orthodontics, Plc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 540 Fort Evans Rd, Leesburg, Virginia |
| Authorized Official Name and Position | Markus L Niepraschk (OWNER) |
| Authorized Official Contact | 7037778277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Orthodontics, Plc 540 Fort Evans Rd 102 Leesburg VA 20176-3379 Ph: (703) 777-8277 | Legacy Orthodontics, Plc 540 Fort Evans Rd 102 Leesburg VA 20176-3379 Ph: (703) 777-8277 |
| NPI Number | 1407152457 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407152457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401411763 (Virginia) | Primary |
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