Organization
LANA SOULES D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANA SOULES DDS (PRESIDENT)
(703) 787-3585
Entity
Organization
Contact information
Practice address
112 ELDEN ST, SUITE S, HERNDON, VA 20170-4874
(703) 787-3585
(703) 787-9887
Mailing address
112 ELDEN ST, SUITE S, HERNDON, VA 20170-4874
(703) 787-3585
(703) 787-9887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
10/19/2011
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