| NPI | 1275037384 |
|---|---|
| Doing Business As | LOUDOUN PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEVE J LAN Owner 240-899-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412388) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-07-16 |