| Hometown Dental Care Pllc | |
|
821 S King St Suite E Leesburg VA 20175-3921 | |
| (571) 363-2244 | |
| (571) 363-2255 |
| Full Name | Hometown Dental Care Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 821 S King St, Leesburg, Virginia |
| Authorized Official Name and Position | Arezou Masoumeh Daneshvar (OWNER - MANAGER) |
| Authorized Official Contact | 4128051625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dental Care Pllc 821 S King St Suite E Leesburg VA 20175-3921 Ph: (571) 363-2244 | Hometown Dental Care Pllc 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 | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316499379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412433 (Virginia) | Primary |
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