Organization
NEIBAUER DENTAL CARE, PC
Active
Parent organization
NEIBAUER DENTAL CARE, PC
Other names
Potomac Station Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, PC
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
680 POTOMAC STATION DR NE, LEESBURG, VA 20176-1839
(571) 209-9197
(571) 209-5316
Mailing address
680 POTOMAC STATION DR NE, LEESBURG, VA 20176-1839
(571) 209-9197
(571) 209-5316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/19/2024
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