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Individual

MR. LLEWELLYN LEE WELSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
706 S KING ST, SUITE 5, LEESBURG, VA 20175-3918
(703) 771-8500
(703) 771-9541
Mailing address
706 S. KING STREET, SUITE 5, LEESBURG, VA 20175
(703) 771-8500
(703) 771-9541

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008876
VA

Other

Enumeration date
05/06/2010
Last updated
05/06/2010
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