Organization
POTOMAC FALLS ORTHODONTICS
Active
Other names
Potomac Falls Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL KRAVITZ (OWNER)
(703) 638-2467
Entity
Organization
Contact information
Practice address
46950 JENNINGS FARM DR, SUITE 160, STERLING, VA 20164-8679
(703) 430-2767
Mailing address
46950 JENNINGS FARM DR, SUITE 160, STERLING, VA 20164-8679
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
401411350
VA
Other
Enumeration date
04/10/2015
Last updated
03/31/2017
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