| A Wink And A Smile Denitst Pllc | |
|
19369 Promenade Dr K102 Lansdowne VA 20176-6501 | |
| (571) 333-1250 | |
| (571) 333-1251 |
| Full Name | A Wink And A Smile Denitst Pllc |
|---|---|
| Speciality | Dentist |
| Location | 19369 Promenade Dr, Lansdowne, Virginia |
| Authorized Official Name and Position | Leonardo Eun Lee (OWNER) |
| Authorized Official Contact | 5713331250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Wink And A Smile Denitst Pllc 19369 Promenade Dr K102 Lansdowne VA 20176-6501 Ph: (571) 333-1250 | A Wink And A Smile Denitst Pllc 19369 Promenade Dr K102 Lansdowne VA 20176-6501 Ph: (571) 333-1250 |
| NPI Number | 1952593899 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952593899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410650 (Virginia) | Primary |
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