| Springfield Lorton Dental Gorup | |
|
5419 Backlick Rd # C Springfield VA 22151-3915 | |
| (703) 256-8554 | |
| Not Available |
| Full Name | Springfield Lorton Dental Gorup |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5419 Backlick Rd # C, Springfield, Virginia |
| Authorized Official Name and Position | Lawrence Rosenman (PRESIDENT) |
| Authorized Official Contact | 7032568554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Lorton Dental Gorup 5419 Backlick Rd # C Springfield VA 22151-3915 Ph: (703) 256-8554 | Springfield Lorton Dental Gorup 5419 Backlick Rd # C Springfield VA 22151-3915 Ph: (703) 256-8554 |
| NPI Number | 1174542328 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174542328 | NPI | - | NPPES |
| 186925 | Other | UNITED CONCORDIA |
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