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Organization

WEST END IMPLANTS AND PERIODONTICS, PLLC

Active
Other names
West End Implants & Periodontics
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA L BLAN (OPERATIONS MANAGER)
(571) 261-4867
Entity
Organization

Contact information

Practice address
7915 LAKE MANASSAS DR STE 207, GAINESVILLE, VA 20155-3260
(571) 261-4867
(571) 261-2522
Mailing address
7915 LAKE MANASSAS DR STE 207, GAINESVILLE, VA 20155-3260
(571) 261-4867
(571) 261-2522

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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