| Lorton Pediatric Dentistry And Orthodontics, Pllc | |
| 
					8998 Lorton Station Blvd Ste E&f Lorton VA 22079-4789  | |
| (703) 344-0590 | |
| Not Available | 
| Full Name | Lorton Pediatric Dentistry And Orthodontics, Pllc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 8998 Lorton Station Blvd Ste E&f, Lorton, Virginia | 
| Authorized Official Name and Position | Sasha Gross (OPERATIONS MANAGER) | 
| Authorized Official Contact | 2406013932 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lorton Pediatric Dentistry And Orthodontics, Pllc 14573 Potomac Mills Rd Woodbridge VA 22192-6808 Ph: (703) 499-9779  | Lorton Pediatric Dentistry And Orthodontics, Pllc 8998 Lorton Station Blvd Ste E&f Lorton VA 22079-4789 Ph: (703) 344-0590  | 
| NPI Number | 1528806031 | 
|---|---|
| Provider Enumeration Date | 07/18/2024 | 
| Last Update Date | 07/30/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528806031 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary | 
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