Organization
DR. MARK LUPOSELLO AND DR. ROBERT MARZBAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARZBAN D.D.S (VICE PRESIDENT)
(703) 356-8781
Entity
Organization
Contact information
Practice address
6858 OLD DOMINION DR, SUITE 100, MC LEAN, VA 22101-3899
(703) 356-8787
(703) 442-4868
Mailing address
6858 OLD DOMINION DR, SUITE 100, MC LEAN, VA 22101-3899
(703) 356-8787
(703) 442-4868
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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