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Organization

THE VIRGINIA ENDODONTIC GROUP-GAINESVILLE PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN LEE DMD (OWNER)
(703) 795-9911
Entity
Organization

Contact information

Practice address
19500 SANDRIDGE WAY STE 270, LANSDOWNE, VA 20176-3693
(703) 257-7406
Mailing address
13575 HEATHCOTE BLVD STE 140, GAINESVILLE, VA 20155-6693
(703) 795-9911

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
06/07/2024
Last updated
06/07/2024
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