Gainesville Orthodontic Associates

NPI 1073749966 - Dentist - 1223X0400X

NPI Details
NPI 1073749966
Enumeration Date 06/05/2009
Last Updated 06/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LUCY LYNN LUCY
Position GM
Phone (703) 719-5828
Fax (703) 691-9061
Practice Location
7504 IRON BAR LN
GAINESVILLE VA, 20155-2999, US
Phone (703) 719-5828
Fax (703) 691-9061
Business Location
7504 IRON BAR LN
GAINESVILLE VA, 20155-2999, US
Phone (703) 719-5828
Fax (703) 691-9061
Toxanomy
Taxonomy Code 1223X0400X
License State Virginia
License Number 0401003534
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According to our database, Gainesville Orthodontic Associates NPI is 1073749966, taxonomy code is 1223X0400X and license number is 0401003534, license state is located at Virginia. Gainesville Orthodontic Associates physically located at 7504 Iron Bar Ln, Gainesville VA, 20155-2999. NPI Number 1033115704 has the healthcare provider type.

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1073749966 NPI number is provided on an as is basis without warranty of any kind. 1073749966 is maintained by the National Plan & Provider Enumeration System. The contents of Gainesville Orthodontic Associates are for informational purposes only.