| Blossom Orthodontics Pllc | |
|
24585 Stone Carver Dr Ste 250 Aldie VA 20105-3256 | |
| (703) 423-0288 | |
| Not Available |
| Full Name | Blossom Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 24585 Stone Carver Dr Ste 250, Aldie, Virginia |
| Authorized Official Name and Position | Lam C Bui (OWNER DENTIST) |
| Authorized Official Contact | 7039297838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Orthodontics Pllc 24585 Stone Carver Dr Ste 250 Aldie VA 20105-3256 Ph: (703) 423-0288 | Blossom Orthodontics Pllc 24585 Stone Carver Dr Ste 250 Aldie VA 20105-3256 Ph: (703) 423-0288 |
| NPI Number | 1780558536 |
|---|---|
| Provider Enumeration Date | 10/03/2025 |
| Last Update Date | 10/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780558536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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