Organization
LEESBURG DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEITH KALLAS DDS (OWNER)
(703) 622-3300
Entity
Organization
Contact information
Practice address
19 CATOCTIN CIR NE, LEESBURG, VA 20176-3100
(703) 737-0070
Mailing address
8310 OLD COURTHOUSE RD STE A, VIENNA, VA 22182-3872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
08/23/2023
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