Leidys Tatiana Galvis Restrepo

NPI #1710675855 in Lorton, Virginia

Provider Information

NPI Number: 1710675855
Entity Type: Individual
Name: Leidys Tatiana Galvis Restrepo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Apr 26, 2023
Last Updated: Aug 7, 2025

Practice Location

Address: 9125 AVENTON CT
City: Lorton
State: Virginia
ZIP Code: 22079-5205
Phone: (305) 773-3438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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