Organization
PLEASANT VALLEY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER KYUNG-LAE LEE DDS (OWNER ATTENDING DOCTOR)
(703) 961-0225
Entity
Organization
Contact information
Practice address
4080 LAFAYETTE CENTER DRIVE, SUITE 200, CHANTILLY, VA 20151
(703) 961-0225
(703) 961-0227
Mailing address
4080 LAFAYETTE CENTER DRIVE, SUITE 200, CHANTILLY, VA 20151
(703) 961-0225
(703) 961-0227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008865
VA
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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