The Virginia Endodontic Group - Loudoun

NPI #1982160149 in Lansdowne, Virginia

Provider Information

NPI Number: 1982160149
Entity Type: Organization
Organization Name: The Virginia Endodontic Group - Loudoun
Subpart: Yes (part of a larger organization)
Parent Organization: THE VIRGINIA ENDODONTIC GROUP
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 13, 2019
Last Updated: Feb 13, 2019

Practice Location

Address: 19500 SANDRIDGE WAY STE 270
City: Lansdowne
State: Virginia
ZIP Code: 20176-3693
Phone: (703) 922-9040

Authorized Official

Name: TU-SON NGO
Title: OWNER
Phone: (703) 922-9040

Specialties & Taxonomy Codes

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

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