Organization
LOUDOUN CENTER FOR ORAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BAE DDS, MD (OWNER/ SURGEON)
(703) 544-9740
Entity
Organization
Contact information
Practice address
46161 WESTLAKE DR STE 200, STERLING, VA 20165-5871
(703) 544-9740
(703) 544-9741
Mailing address
46161 WESTLAKE DR STE 200, STERLING, VA 20165-5871
(703) 544-9740
(703) 544-9741
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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