Organization
INTEGRATIVE IMPLANT SERVICES, LLC
Active
Parent organization
INTEGRATIVE ORAL SURGEONS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE ORAL SURGEONS, LLC
Authorized official
DR. LEUXS CARROLL MD, DMD (OWNER)
(703) 388-2889
Entity
Organization
Contact information
Practice address
6845 ELM. ST., STE. 225, MCLEAN, VA 22102-3834
(703) 388-2889
(703) 388-0669
Mailing address
6845 ELM. STREET, SUITE 225, MCLEAN, VA 22101-3834
(703) 388-2889
(703) 388-0669
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
040142450
VA
Other
Enumeration date
04/24/2015
Last updated
06/30/2015
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