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Organization
LISA A. MARVIL, D.M.D., P.L.L.C.
Active
Organization
LISA A. MARVIL, D.M.D., P.L.L.C.
Active
Other names
Loudoun Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ALISON MARVIL D.M.D (OWNER/PERIODONTICS)
(703) 297-6655
Entity
Organization
Contact information
Practice address
17341-B PICKWICK DRIVE, PURCELLVILLE, VA 20132
(540) 338-4588
(540) 675-4044
Mailing address
17341-B PICKWICK DRIVE, PURCELLVILLE, VA 20132
(540) 338-4588
(540) 675-4044
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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