# FULLER & SPENCER FULLER, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POTOMAC VALLEY DENTAL CARE, PLLC
- **Other names:** The Leesburg Dentists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669846861
- **Legal business name:** POTOMAC VALLEY DENTAL CARE, PLLC
- **Authorized official:** LLEWELLYN LEE WELSTEAD DDS (DENTIST/OWNER)
- **Authorized official phone:** (703) 771-8500

## Contact information

- **Practice address:** 706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
- **Practice address phone:** (703) 771-8500
- **Practice address fax:** (703) 771-9541
- **Mailing address:** 706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
- **Mailing address phone:** (703) 771-8500
- **Mailing address fax:** (703) 771-9541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2015
- **Last updated:** 11/25/2015