| Lisa A. Marvil, D.m.d., P.l.l.c. | |
|
17341-b Pickwick Drive Purcellville VA 20132 | |
| (540) 338-4588 | |
| (540) 675-4044 |
| Full Name | Lisa A. Marvil, D.m.d., P.l.l.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 17341-b Pickwick Drive, Purcellville, Virginia |
| Authorized Official Name and Position | Lisa Alison Marvil (OWNER/PERIODONTICS) |
| Authorized Official Contact | 7032976655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Marvil, D.m.d., P.l.l.c. 17341-b Pickwick Drive Purcellville VA 20132 Ph: (540) 338-4588 | Lisa A. Marvil, D.m.d., P.l.l.c. 17341-b Pickwick Drive Purcellville VA 20132 Ph: (540) 338-4588 |
| NPI Number | 1497361471 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497361471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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