Organization
VANDANA SOOD, D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANDANA SOOD D.M.D. (PRESIDENT)
(703) 723-9332
Entity
Organization
Contact information
Practice address
19420 GOLF VISTA PLZ, SUITE 360, LEESBURG, VA 20176-8265
(703) 723-9332
(703) 723-9336
Mailing address
19420 GOLF VISTA PLZ, SUITE 360, LEESBURG, VA 20176-8265
(703) 723-9332
(703) 723-9336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411405
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115121
UNITED CONCORDIA
VA
01
—
309174
ANTHEM
VA
01
—
33838
DOMINION DENTAL
VA
01
—
6707-1
DENTAL BENEFIT PROVIDERS
VA
01
—
8580
NORTHEAST DENTAL PLAN
VA
01
—
92697
DHA
VA
01
—
DX178576
DNOA
VA
01
—
VA200870
GE CONSUMER FINANCE
VA
Enumeration date
08/07/2007
Last updated
04/22/2010
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