Organization
COUNTY OF LOUDOUN, VIRGINIA
Active
Parent organization
COUNTY OF LOUDOUN, VIRGINIA
Other names
Loudoun County Health Department Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LOUDOUN, VIRGINIA
Authorized official
TIMOTHY D HEMSTREET (COUNTY ADMINISTRATOR)
(703) 777-0200
Entity
Organization
Contact information
Practice address
102 HERITAGE WAY NE STE 101, LEESBURG, VA 20176-4544
(703) 771-5979
Mailing address
PO BOX 7000, MSC 68, LEESBURG, VA 20177-7000
(703) 771-5355
(703) 771-5550
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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