Individual
JUAN CARLOS LOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
737 WALKER RD, SUITE 6, GREAT FALLS, VA 22066-2833
(703) 759-3011
(703) 759-6030
Mailing address
910 BROAD OAKS DR, HERNDON, VA 20170-3600
(571) 218-9461
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401410736
VA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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