Organization
TOOTH CLUES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANI TAKIAR DMD, MA (OWNER, PEDIATRIC DENTIST)
(571) 799-0559
Entity
Organization
Contact information
Practice address
606 S KING ST STE 200, LEESBURG, VA 20175-3907
(571) 799-0559
(571) 799-0560
Mailing address
606 S KING ST STE 200, LEESBURG, VA 20175-3907
(571) 799-0559
(571) 799-0560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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