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Individual

DR. WAEL M ELOSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19415 DEERFIELD AVE STE 309, LEESBURG, VA 20176-8472
(703) 729-1818
Mailing address
19415 DEERFIELD AVE STE 309, LEESBURG, VA 20176-8472
(703) 729-1818

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412058
VA

Other

Enumeration date
10/04/2006
Last updated
11/25/2020
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