LEGACY DENTAL IMPLANT OF HERNDON

HERNDON, VA
NPI1053201384
Entity TypeOrganization
Authorized ContactABDELROUF SUWID
Owner
646-824-3829
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2025-07-08
Last Update Date2025-07-08
Business Address
LEGACY DENTAL IMPLANT OF HERNDON
208 ELDEN ST
HERNDON, VA 20170-4877
Phone number: 646-824-3829
Mailing Address
LEGACY DENTAL IMPLANT OF HERNDON
208 ELDEN ST
HERNDON, VA 20170-4877
Phone number: 646-824-3829
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