Individual
ROBERT LEGONITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.O.
Contact information
Practice address
1800 BOONE BLVD, VIENNA, VA 22182
(703) 734-1095
(703) 714-9330
Mailing address
1800 BOONE BLVD, VIENNA, VA 22182
(703) 734-1095
(703) 714-9330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5011
VA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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