Lortontown Dental

NPI #1669097044 in Lorton, Virginia

Provider Information

NPI Number: 1669097044
Entity Type: Organization
Organization Name: Lortontown Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 11, 2020
Last Updated: Jun 11, 2020

Practice Location

Address: 9010 LORTON STATION BLVD STE 135
City: Lorton
State: Virginia
ZIP Code: 22079-4794
Phone: (703) 372-5665

Authorized Official

Name: DR. SAMER KHATTAB, DDS
Title: CEO
Phone: (703) 372-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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