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Organization
WAEL M. ELOSTA PLLC
Active
Organization
WAEL M. ELOSTA PLLC
Active
Other names
Lansdowne cosmetic and implant dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL ELOSTA DDS (OWNER)
(763) 221-4222
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE STE 309, LANSDOWNE, VA 20176-8472
(703) 729-1818
Mailing address
19415 DEERFIELD AVE STE 309, LANSDOWNE, VA 20176-8472
(703) 729-1818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412058
VA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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