# LANA SOULES D.D.S., INC.

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

## Provider details

- **NPI number:** 1821213984
- **Authorized official:** DR. LANA SOULES DDS (PRESIDENT)
- **Authorized official phone:** (703) 787-3585

## Contact information

- **Practice address:** 112 ELDEN ST, SUITE S, HERNDON, VA 20170-4874
- **Practice address phone:** (703) 787-3585
- **Practice address fax:** (703) 787-9887
- **Mailing address:** 112 ELDEN ST, SUITE S, HERNDON, VA 20170-4874
- **Mailing address phone:** (703) 787-3585
- **Mailing address fax:** (703) 787-9887

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 10/19/2011