| Hometown Dental Care | |
|
821 S King St Suite E Leesburg VA 20175-3921 | |
| (571) 363-2244 | |
| (571) 363-2255 |
| Full Name | Hometown Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 821 S King St, Leesburg, Virginia |
| Authorized Official Name and Position | Arezou Masoumeh Daneshvar (OWNER - MANAGER) |
| Authorized Official Contact | 4128051625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dental Care 821 S King St Suite E Leesburg VA 20175-3921 Ph: (571) 363-2244 | Hometown Dental Care 821 S King St Suite E Leesburg VA 20175-3921 Ph: (571) 363-2244 |
| NPI Number | 1316499379 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 08/15/2025 |
| Medicare PECOS PAC ID | 5890238661 |
|---|---|
| Medicare Enrollment ID | O20240620004189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316499379 | NPI | - | NPPES |
| Provider Name | Arezou Daneshvar |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326025263 PECOS PAC ID: 8426353590 Enrollment ID: I20240620004205 |
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