Organization
MERRIFIELD ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN WON LEE DDS (PRINCIPAL MEMBER)
(703) 573-0200
Entity
Organization
Contact information
Practice address
2843 HARTLAND RD, SUITE 100, FALLS CHURCH, VA 22043-3527
(703) 573-0200
Mailing address
2843 HARTLAND RD, SUITE 100, FALLS CHURCH, VA 22043-3527
(703) 573-0200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411868
VA
Other
Enumeration date
07/17/2012
Last updated
01/22/2013
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