Organization
GAINESVILLE ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY LYNN MCCABE (GM)
(703) 719-9192
Entity
Organization
Contact information
Practice address
7504 IRON BAR LN, GAINESVILLE, VA 20155-2999
(703) 719-5828
(703) 691-9061
Mailing address
7504 IRON BAR LN, GAINESVILLE, VA 20155-2999
(703) 719-5828
(703) 691-9061
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401003534
VA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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