Organization
PEDIATRIC DENTAL SPECIALISTS OF LOUDOUN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BITA TAYLOR LUDI DMD (OWNER)
(703) 559-4889
Entity
Organization
Contact information
Practice address
20 PIDGEON HILL DR, STERLING, VA 20165-6154
(703) 444-5337
Mailing address
20 PIDGEON HILL DR, STERLING, VA 20165-6154
(703) 444-5337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/07/2021
Last updated
01/25/2021
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