# VANDANA SOOD, D.M.D., LLC

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

## Provider details

- **NPI number:** 1437340163
- **Authorized official:** DR. VANDANA SOOD D.M.D. (PRESIDENT)
- **Authorized official phone:** (703) 723-9332

## Contact information

- **Practice address:** 19420 GOLF VISTA PLZ, SUITE 360, LEESBURG, VA 20176-8265
- **Practice address phone:** (703) 723-9332
- **Practice address fax:** (703) 723-9336
- **Mailing address:** 19420 GOLF VISTA PLZ, SUITE 360, LEESBURG, VA 20176-8265
- **Mailing address phone:** (703) 723-9332
- **Mailing address fax:** (703) 723-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411405 | VA | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 04/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 115121 | UNITED CONCORDIA | VA |
| 01 | — | 309174 | ANTHEM | VA |
| 01 | — | 33838 | DOMINION DENTAL | VA |
| 01 | — | 6707-1 | DENTAL BENEFIT PROVIDERS | VA |
| 01 | — | 8580 | NORTHEAST DENTAL PLAN | VA |
| 01 | — | 92697 | DHA | VA |
| 01 | — | DX178576 | DNOA | VA |
| 01 | — | VA200870 | GE CONSUMER FINANCE | VA |