Organization
KRAVITZ ORTHODONITCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL KRAVITZ (OWNER)
(571) 206-1395
Entity
Organization
Contact information
Practice address
20405 EXCHANGE ST STE 210, ASHBURN, VA 20147-5934
(703) 729-0350
Mailing address
20405 EXCHANGE ST STE 210, ASHBURN, VA 20147-5934
(703) 729-0350
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
040143294
VA
261QD0000X
Dental Clinic/Center
Primary
401411350
VA
Other
Enumeration date
07/08/2014
Last updated
03/31/2017
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