Organization
BURKE ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY LYNN MCCABE (GM)
(703) 719-5828
Entity
Organization
Contact information
Practice address
6045 BURKE CENTRE PKWY, SUITE 202, BURKE, VA 22015-3751
(703) 719-5828
(703) 691-8877
Mailing address
6045 BURKE CENTRE PKWY, SUITE 202, BURKE, VA 22015-3751
(703) 719-5828
(703) 691-8877
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401003534
VA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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