| Rise Orthodontic Studio, Pllc | |
|
3119 Valley Ave Ste 110 Winchester VA 22601-2665 | |
| (847) 533-1349 | |
| Not Available |
| Full Name | Rise Orthodontic Studio, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3119 Valley Ave Ste 110, Winchester, Virginia |
| Authorized Official Name and Position | Ashley Elizabeth Larson (ORTHODONTIST) |
| Authorized Official Contact | 8475331349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Orthodontic Studio, Pllc 102 W Pall Mall St Winchester VA 22601-4067 Ph: (847) 533-1349 | Rise Orthodontic Studio, Pllc 3119 Valley Ave Ste 110 Winchester VA 22601-2665 Ph: (847) 533-1349 |
| NPI Number | 1194562587 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194562587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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