| Luis Loza Dds, Pc. | |
|
7806 Sudley Rd Suite 210 Manassas VA 20109-2859 | |
| (703) 331-1313 | |
| (703) 369-2622 |
| Full Name | Luis Loza Dds, Pc. |
|---|---|
| Speciality | Dentist |
| Location | 7806 Sudley Rd, Manassas, Virginia |
| Authorized Official Name and Position | Luis Loza (DENTIST) |
| Authorized Official Contact | 7033692273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Loza Dds, Pc. 7806 Sudley Rd Suite 210 Manassas VA 20109-2859 Ph: (703) 331-1313 | Luis Loza Dds, Pc. 7806 Sudley Rd Suite 210 Manassas VA 20109-2859 Ph: (703) 331-1313 |
| NPI Number | 1194877035 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194877035 | NPI | - | NPPES |
| 841629676 | Other | VA | TAX IDENTIFICATION |
| 542034392 | Other | VA | TAX IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401008767 (Virginia) | Primary |
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