Organization
PETER LANZARO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J LANZARO (DENTIST)
(703) 690-0102
Entity
Organization
Contact information
Practice address
8918 VILLAGE SHOPS DR, FAIRFAX STATION, VA 22039-2610
(703) 690-0102
(703) 690-0830
Mailing address
8918 VILLAGE SHOPS DR, FAIRFAX STATION, VA 22039-2610
(703) 690-0102
(703) 690-0830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40401007298
VA
Other
Enumeration date
08/17/2006
Last updated
11/10/2015
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