Organization
STEVE J LAN DDS PC
Active
Other names
Loudoun Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE JUH LAN DDS (OWNER/PRESIDENT/DENTIST)
(703) 771-0007
Entity
Organization
Contact information
Practice address
1503 DODONA TER STE 200, LEESBURG, VA 20175-4718
(703) 771-0007
(703) 771-6088
Mailing address
1503 DODONA TER STE 200, LEESBURG, VA 20175-4718
(703) 771-0007
(703) 771-6088
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035518600
—
VA
Enumeration date
06/25/2015
Last updated
08/07/2020
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