| Gainesville Orthodontic Associates | |
|
7504 Iron Bar Ln Gainesville VA 20155-2999 | |
| (703) 719-5828 | |
| (703) 691-9061 |
| Full Name | Gainesville Orthodontic Associates |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7504 Iron Bar Ln, Gainesville, Virginia |
| Authorized Official Name and Position | Lucy Lynn Mccabe (GM) |
| Authorized Official Contact | 7037199192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Orthodontic Associates 7504 Iron Bar Ln Gainesville VA 20155-2999 Ph: (703) 719-5828 | Gainesville Orthodontic Associates 7504 Iron Bar Ln Gainesville VA 20155-2999 Ph: (703) 719-5828 |
| NPI Number | 1073749966 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073749966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401003534 (Virginia) | Primary |
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