| Treasured Smiles Pediatric Dentistry | |
|
1509 Dodona Ter Ste 105a Leesburg VA 20175-4709 | |
| (571) 293-0244 | |
| Not Available |
| Full Name | Treasured Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1509 Dodona Ter Ste 105a, Leesburg, Virginia |
| Authorized Official Name and Position | Christine Hickerson (OFFICE MANAGER) |
| Authorized Official Contact | 5712930244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasured Smiles Pediatric Dentistry 1509 Dodona Terrace Suite 105a Leesburg VA 25405 Ph: (571) 293-0244 | Treasured Smiles Pediatric Dentistry 1509 Dodona Ter Ste 105a Leesburg VA 20175-4709 Ph: (571) 293-0244 |
| NPI Number | 1225465131 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225465131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401412920 (Virginia) | Primary |
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