| Lansdowne Oral Surgery | |
|
19441 Golf Vista Plaza Suite 130 Lansdowne VA 20176 | |
| (703) 723-7858 | |
| (703) 723-7882 |
| Full Name | Lansdowne Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 19441 Golf Vista Plaza, Lansdowne, Virginia |
| Authorized Official Name and Position | Kaiti R Grim (ADMINISTRATIVE DIRCT) |
| Authorized Official Contact | 7037237858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansdowne Oral Surgery 19441 Golf Vista Plaza Suite 130 Lansdowne VA 20176 Ph: (703) 723-7858 | Lansdowne Oral Surgery 19441 Golf Vista Plaza Suite 130 Lansdowne VA 20176 Ph: (703) 723-7858 |
| NPI Number | 1093889008 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093889008 | NPI | - | NPPES |
| 292375 | Other | MD | MAMSI OP CHOICE ALLIANCE |
| 384081 | Other | VA | BCBS |
| 008000531 | Medicaid | VA | |
| 455676 | Other | MD | MAMSI OP CHOICE ALLIANCE |
| 008000492 | Medicaid | VA | |
| 384338 | Other | VA | BCBS |
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