Organization
LOMBARD ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P LOMBARD DMD (OWNER)
(703) 777-8277
Entity
Organization
Contact information
Practice address
540 FORT EVANS RD STE 102, LEESBURG, VA 20176-3379
(703) 777-8277
Mailing address
540 FORT EVANS RD STE 102, LEESBURG, VA 20176-3379
(703) 777-8277
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401415598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401415598
—
VA
Enumeration date
07/05/2017
Last updated
07/21/2022
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