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Organization
THE VIRGINIA ENDODONTIC GROUP - LOUDOUN
Active
Organization
THE VIRGINIA ENDODONTIC GROUP - LOUDOUN
Active
Parent organization
THE VIRGINIA ENDODONTIC GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE VIRGINIA ENDODONTIC GROUP
Authorized official
TU-SON NGO (OWNER)
(703) 922-9040
Entity
Organization
Contact information
Practice address
19500 SANDRIDGE WAY STE 270, LANSDOWNE, VA 20176-3693
(703) 922-9040
Mailing address
6831 SIR VICEROY DR STE 210, ALEXANDRIA, VA 22315-3719
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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