# LOUDOUN DENTAL SMILES

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

## Provider details

- **NPI number:** 1740766914
- **Authorized official:** CHRISTINA COWELL DMD (OWNER)
- **Authorized official phone:** (703) 779-7779

## Contact information

- **Practice address:** 540 FORT EVANS RD STE 100, LEESBURG, VA 20176-3379
- **Practice address phone:** (703) 779-7779
- **Practice address fax:** (703) 779-8005
- **Mailing address:** 540 FORT EVANS RD STE 100, LEESBURG, VA 20176-3379
- **Mailing address phone:** (703) 779-7779
- **Mailing address fax:** (703) 779-8005

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2018
- **Last updated:** 07/11/2018