# YLG ENDODONTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Omni Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790599405
- **Authorized official:** DR. NICHOLAS EVERETT LEON-GUERRERO DDS (OWNER)
- **Authorized official phone:** (703) 828-8188

## Contact information

- **Practice address:** 2700 S QUINCY ST STE 325, ARLINGTON, VA 22206-2242
- **Practice address phone:** (703) 828-8188
- **Practice address fax:** (703) 828-8187
- **Mailing address:** 6906 WILLOW ST, FALLS CHURCH, VA 22046-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 01/03/2026
