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Organization
LUIS LOZA DDS, PC.
Active
Organization
LUIS LOZA DDS, PC.
Active
Other names
Ahmadyar DDS & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS LOZA DDS (DENTIST)
(703) 369-2273
Entity
Organization
Contact information
Practice address
7806 SUDLEY RD, SUITE 210, MANASSAS, VA 20109-2859
(703) 331-1313
(703) 369-2622
Mailing address
7806 SUDLEY RD, SUITE 210, MANASSAS, VA 20109-2859
(703) 331-1313
(703) 369-2622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008767
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542034392
TAX IDENTIFICATION
VA
01
—
841629676
TAX IDENTIFICATION
VA
Enumeration date
01/18/2007
Last updated
01/17/2022
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