Individual
LEO SUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.O.
Contact information
Practice address
5113 LEESBURG PIKE, SUITE 800, FALLS CHURCH, VA 22041-3257
(703) 671-1021
(703) 671-1081
Mailing address
5113 LEESBURG PIKE, SUITE 800, FALLS CHURCH, VA 22041-3257
(703) 671-1021
(703) 671-1081
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5558
VA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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