| The Virginia Endodontic Group - Loudoun | |
|
19500 Sandridge Way Ste 270 Lansdowne VA 20176-3693 | |
| (703) 922-9040 | |
| Not Available |
| Full Name | The Virginia Endodontic Group - Loudoun |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19500 Sandridge Way Ste 270, Lansdowne, Virginia |
| Authorized Official Name and Position | Tu-son Ngo (OWNER) |
| Authorized Official Contact | 7039229040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Virginia Endodontic Group - Loudoun 6831 Sir Viceroy Dr Ste 210 Alexandria VA 22315-3719 Ph: () - | The Virginia Endodontic Group - Loudoun 19500 Sandridge Way Ste 270 Lansdowne VA 20176-3693 Ph: (703) 922-9040 |
| NPI Number | 1982160149 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982160149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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