| Lortontown Dental | |
|
9010 Lorton Station Blvd Ste 135 Lorton VA 22079-4794 | |
| (703) 372-5665 | |
| (703) 372-5684 |
| Full Name | Lortontown Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9010 Lorton Station Blvd Ste 135, Lorton, Virginia |
| Authorized Official Name and Position | Samer Khattab (CEO) |
| Authorized Official Contact | 7033725665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lortontown Dental 9010 Lorton Station Blvd Ste 135 Lorton VA 22079-4794 Ph: (703) 372-5665 | Lortontown Dental 9010 Lorton Station Blvd Ste 135 Lorton VA 22079-4794 Ph: (703) 372-5665 |
| NPI Number | 1669097044 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669097044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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