Individual
JEFFREY B LEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7764 ARMISTEAD RD, SUITE 100, LORTON, VA 22079-1919
(703) 339-5090
(703) 339-1068
Mailing address
6037 RIVER DR, LORTON, VA 22079-4125
(703) 339-8741
(703) 339-1068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781417
UNITED CONCORDIA PROVIDER
VA
Enumeration date
02/12/2007
Last updated
07/08/2007
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