Springfield Orthodontic Associates, Pllc
NPI #1316162456 in Springfield, Virginia
Provider Information
- NPI Number
- 1316162456
- Entity Type
- Organization
- Organization Name
- Springfield Orthodontic Associates, Pllc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6564 LOISDALE CT STE 325
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22150-1831
- Phone
- (703) 719-5828
Authorized Official
- Name
- MS. LUCY L. MCCABE
- Title
- ADMINISTRATOR
- Phone
- (703) 719-5828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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