Organization
LISA A. MARVIL, D.M.D., P.L.L.C.
Active
Other names
Loudoun Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ALISON MARVIL D.M.D (OWNER/PERIODONTICS)
(703) 297-6655
Entity
Organization
Contact information
Practice address
17341-B PICKWICK DRIVE, PURCELLVILLE, VA 20132
(540) 338-4588
(540) 675-4044
Mailing address
17341-B PICKWICK DRIVE, PURCELLVILLE, VA 20132
(540) 338-4588
(540) 675-4044
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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