Organization · Type 2 NPI

Wael M. Elosta PLLC

Dental Clinic/Center · Lansdowne, VA

NPI number 1154747541 Active

Practice location

19415 Deerfield Ave Ste 309
Lansdowne, VA 20176-8472

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X0401412058 (VA)

Dental Clinic/Center: Definition to come...

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About NPI 1154747541

Wael M. Elosta PLLC's National Provider Identifier is 1154747541, issued on Mar 10, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lansdowne, VA. The record was last updated on Mar 10, 2014.