Individual
LORETTA MAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 CHAIN BRIDGE RD, 303, MC LEAN, VA 22101-4451
(703) 821-0080
(703) 821-0032
Mailing address
1515 CHAIN BRIDGE RD, MC LEAN, VA 22101-4451
(703) 821-0080
(703) 821-0032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008699
VA
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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