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1063113199
LEESBURG DENTAL GROUP PLLC
LEESBURG, VA
NPI
1063113199
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Entity Type
Organization
Authorized Contact
GEITH KALLAS
Owner
703-622-3300
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2023-03-15
Last Update Date
2023-08-23
Business Address
LEESBURG DENTAL GROUP PLLC
19 CATOCTIN CIR NE
LEESBURG, VA 20176-3100
Phone number: 703-737-0070
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Mailing Address
LEESBURG DENTAL GROUP PLLC
8310 OLD COURTHOUSE RD STE A
VIENNA, VA 22182-3872
Phone number:
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