| 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 |
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