# KRAVITZ ORTHODONITCS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285040501
- **Authorized official:** NEAL KRAVITZ (OWNER)
- **Authorized official phone:** (571) 206-1395

## Contact information

- **Practice address:** 20405 EXCHANGE ST STE 210, ASHBURN, VA 20147-5934
- **Practice address phone:** (703) 729-0350
- **Mailing address:** 20405 EXCHANGE ST STE 210, ASHBURN, VA 20147-5934
- **Mailing address phone:** (703) 729-0350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 040143294 | VA | — |
| 261QD0000X | Dental Clinic/Center | 401411350 | VA | Yes |

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 03/31/2017