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1477639896
LAWRENCE THEODORE FOX
BURKE, VA
NPI
1477639896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 6043)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
-- LAWRENCE THEODORE FOX DDS
5200 LYNGATE COURT
BURKE, VA 22015
Phone number: 703-978-5253
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Mailing Address
-- LAWRENCE THEODORE FOX DDS
5200 LYNGATE CT.
BURKE, VA 22015
Phone number: 703-978-5253
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