Organization
TEEM ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADUEKE ETHELBERTH EKOH (OWNER/ORTHODONTIST)
(703) 753-4777
Entity
Organization
Contact information
Practice address
14634 LEE HIGHWAY, GAINESVILLE, VA 20155
(703) 753-4777
(703) 753-4677
Mailing address
14634 LEE HIGHWAY, GAINESVILLE, VA 20155
(703) 753-4777
(703) 753-4677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401411793
VA
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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