Treasured Smiles Pediatric Dentistry | |
1509 Dodona Ter Ste 105a Leesburg VA 20175-4709 | |
(571) 293-0244 | |
Not Available |
Full Name | Treasured Smiles Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1509 Dodona Ter Ste 105a, Leesburg, Virginia |
Authorized Official Name and Position | Christine Hickerson (OFFICE MANAGER) |
Authorized Official Contact | 5712930244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Treasured Smiles Pediatric Dentistry 1509 Dodona Terrace Suite 105a Leesburg VA 25405 Ph: (571) 293-0244 | Treasured Smiles Pediatric Dentistry 1509 Dodona Ter Ste 105a Leesburg VA 20175-4709 Ph: (571) 293-0244 |
NPI Number | 1225465131 |
---|---|
Provider Enumeration Date | 10/09/2013 |
Last Update Date | 10/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225465131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 0401412920 (Virginia) | Primary |
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