Leesburg Dental Group Pllc

NPI #1063113199 in Leesburg, Virginia

Provider Information

NPI Number: 1063113199
Entity Type: Organization
Organization Name: Leesburg Dental Group Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 15, 2023
Last Updated: Aug 23, 2023

Practice Location

Address: 19 CATOCTIN CIR NE
City: Leesburg
State: Virginia
ZIP Code: 20176-3100
Phone: (703) 737-0070

Authorized Official

Name: GEITH KALLAS, DDS
Title: OWNER
Phone: (703) 622-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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