# WAEL M. ELOSTA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lansdowne cosmetic and implant dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154747541
- **Authorized official:** WAEL ELOSTA DDS (OWNER)
- **Authorized official phone:** (763) 221-4222

## Contact information

- **Practice address:** 19415 DEERFIELD AVE STE 309, LANSDOWNE, VA 20176-8472
- **Practice address phone:** (703) 729-1818
- **Mailing address:** 19415 DEERFIELD AVE STE 309, LANSDOWNE, VA 20176-8472
- **Mailing address phone:** (703) 729-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401412058 | VA | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014