Integrative Implant Services, LLC

NPI #1225425465 in Mclean, Virginia

Provider Information

NPI Number: 1225425465
Entity Type: Organization
Organization Name: Integrative Implant Services, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: INTEGRATIVE ORAL SURGEONS, LLC
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Apr 24, 2015
Last Updated: Jun 30, 2015

Practice Location

Address: 6845 ELM. ST.
Address 2: STE. 225
City: Mclean
State: Virginia
ZIP Code: 22102-3834
Phone: (703) 388-2889

Authorized Official

Name: DR. LEUXS CARROLL, MD, DMD
Title: OWNER
Phone: (703) 388-2889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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