| The Virginia Endodontic Group-gainesville Plc | |
|
19500 Sandridge Way Ste 270 Lansdowne VA 20176-3693 | |
| (703) 257-7406 | |
| Not Available |
| Full Name | The Virginia Endodontic Group-gainesville Plc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 19500 Sandridge Way Ste 270, Lansdowne, Virginia |
| Authorized Official Name and Position | Brian Lee (OWNER) |
| Authorized Official Contact | 7037959911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Virginia Endodontic Group-gainesville Plc 13575 Heathcote Blvd Ste 140 Gainesville VA 20155-6693 Ph: (703) 795-9911 | The Virginia Endodontic Group-gainesville Plc 19500 Sandridge Way Ste 270 Lansdowne VA 20176-3693 Ph: (703) 257-7406 |
| NPI Number | 1164264578 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164264578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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