West End Implants and Periodontics, Pllc
NPI #1932963790 in Gainesville, Virginia
Provider Information
- NPI Number
- 1932963790
- Entity Type
- Organization
- Organization Name
- West End Implants and Periodontics, Pllc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Feb 12, 2024
- Last Updated
- Feb 12, 2024
Practice Location
- Address
- 7915 LAKE MANASSAS DR STE 207
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155-3260
- Phone
- (571) 261-4867
Authorized Official
- Name
- REBECCA L BLAN
- Title
- OPERATIONS MANAGER
- Phone
- (571) 261-4867
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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