Organization
S. J. LAN DDS PLLC
Active
Other names
Loudoun Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE J LAN DDS (OWNER)
(240) 899-6500
Entity
Organization
Contact information
Practice address
43490 YUKON DR STE 105, ASHBURN, VA 20147-7303
(703) 771-0007
Mailing address
22425 BELLE TERRA DR, ASHBURN, VA 20148-7160
(240) 899-6500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
0401412388
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035518600
—
VA
Enumeration date
03/22/2018
Last updated
07/16/2020
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