Organization
LEGACY ORTHODONTICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARKUS L NIEPRASCHK DDS,MS (OWNER)
(703) 777-8277
Entity
Organization
Contact information
Practice address
540 FORT EVANS RD, 102, LEESBURG, VA 20176-3379
(703) 777-8277
(703) 777-8872
Mailing address
540 FORT EVANS RD, 102, LEESBURG, VA 20176-3379
(703) 777-8277
(703) 777-8872
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411763
VA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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