Elan Dental Of South Riding | |
24560 Southpoint Dr Ste 160 Aldie VA 20105-3505 | |
(571) 445-5551 | |
Not Available |
Full Name | Elan Dental Of South Riding |
---|---|
Speciality | Clinic/center - Dental |
Location | 24560 Southpoint Dr Ste 160, Aldie, Virginia |
Authorized Official Name and Position | Judy Kwon (OWNER) |
Authorized Official Contact | 5714455551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elan Dental Of South Riding 24560 Southpoint Dr Ste 160 Aldie VA 20105-3505 Ph: (571) 445-5551 | Elan Dental Of South Riding 24560 Southpoint Dr Ste 160 Aldie VA 20105-3505 Ph: (571) 445-5551 |
NPI Number | 1720663735 |
---|---|
Provider Enumeration Date | 03/11/2021 |
Last Update Date | 03/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720663735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
News Archive
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