# LEESBURG DENTAL P C

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

## Provider details

- **NPI number:** 1528222171
- **Authorized official:** DAHANA NARANJO (OFFICE MANAGER)
- **Authorized official phone:** (703) 777-2442

## Contact information

- **Practice address:** 602 S KING ST, SUITE 302, LEESBURG, VA 20175-3919
- **Practice address phone:** (703) 777-2442
- **Practice address fax:** (703) 777-1510
- **Mailing address:** 602 S KING ST, SUITE 302, LEESBURG, VA 20175-3919
- **Mailing address phone:** (703) 777-2442
- **Mailing address fax:** (703) 777-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410996 | VA | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 03/13/2019