| NPI | 1679704035 |
|---|---|
| Other Name | LOUDOUN DENTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | SANDRA VARNEY Dentist 703-779-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401005237) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401004114) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-09-19 |