Individual
DR. LYDIA SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7548 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(571) 248-4415
(571) 248-4418
Mailing address
7548 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(571) 248-4415
(571) 248-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401404384
VA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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