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 |