| NPI | 1093889008 |
|---|---|
| Doing Business As | LANSDOWNE ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | KAITI R GRIM Administrative Dirct 703-723-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401006304) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401410305) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401413171) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-08-21 |