Organization
WAEL M. ELOSTA PLLC
Active
Other names
Lansdowne cosmetic and implant dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
WAEL ELOSTA DDS (OWNER)
(763) 221-4222
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE STE 309, LANSDOWNE, VA 20176-8472
(703) 729-1818
Mailing address
19415 DEERFIELD AVE STE 309, LANSDOWNE, VA 20176-8472
(703) 729-1818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412058
VA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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