Organization
FULLER & SPENCER FULLER, PC
Active
Parent organization
POTOMAC VALLEY DENTAL CARE, PLLC
Other names
The Leesburg Dentists
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC VALLEY DENTAL CARE, PLLC
Authorized official
LLEWELLYN LEE WELSTEAD DDS (DENTIST/OWNER)
(703) 771-8500
Entity
Organization
Contact information
Practice address
706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
(703) 771-8500
(703) 771-9541
Mailing address
706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
(703) 771-8500
(703) 771-9541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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