| West End Implants And Periodontics, Pllc | |
|
7915 Lake Manassas Dr Ste 207 Gainesville VA 20155-3260 | |
| (571) 261-4867 | |
| (571) 261-2522 |
| Full Name | West End Implants And Periodontics, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7915 Lake Manassas Dr Ste 207, Gainesville, Virginia |
| Authorized Official Name and Position | Rebecca L Blan (OPERATIONS MANAGER) |
| Authorized Official Contact | 5712614867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Implants And Periodontics, Pllc 7915 Lake Manassas Dr Ste 207 Gainesville VA 20155-3260 Ph: (571) 261-4867 | West End Implants And Periodontics, Pllc 7915 Lake Manassas Dr Ste 207 Gainesville VA 20155-3260 Ph: (571) 261-4867 |
| NPI Number | 1932963790 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932963790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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