Individual
LAWRENCE THEODORE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5200 LYNGATE COURT, BURKE, VA 22015
(703) 978-5253
(703) 978-1624
Mailing address
5200 LYNGATE CT., BURKE, VA 22015
(703) 978-5253
(703) 978-1624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6043
VA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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