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1750633301
ASHBURN DIVINE DENTAL
ASHBURN, VA
NPI
1750633301
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Entity Type
Organization
Authorized Contact
LULU LIN
President
626-377-0550
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401413081)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
ASHBURN DIVINE DENTAL
20915 ASHBURN RD STE 205
ASHBURN, VA 20147-5679
Phone number: 626-377-0550
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Mailing Address
ASHBURN DIVINE DENTAL
20915 ASHBURN RD STE 205
ASHBURN, VA 20147-5679
Phone number:
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