Individual
DR. LUIS LOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 S KING ST, SUITE 302, LEESBURG, VA 20175-3919
(703) 777-2442
(703) 777-1510
Mailing address
602 S KING ST STE 302, LEESBURG, VA 20175-3919
(703) 777-2442
(703) 777-1510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410996
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113660124
TAX IDENTIFICATION
VA
01
—
542034392
TAX IDENTIFICATION
VA
01
—
841629676
TAX IDENTIFICATION
VA
Enumeration date
01/18/2007
Last updated
12/17/2018
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