| NPI | 1174952683 |
|---|---|
| Doing Business As | LEESBURG FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAURICIO GARCIA General Dentist 703-777-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413936) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |