| NPI | 1497361471 |
|---|---|
| Doing Business As | LOUDOUN PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | LISA ALISON MARVIL Owner/Periodontics 703-297-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |