Konstantinidou, Elisavet
Konstantinidou, Elisavet is an sole proprietor health care provider with primary practice located at 12700 Black Forest Ln Ste 300 , Woodbridge VA 22192-5306. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Konstantinidou, Elisavet can be contacted via phone (703) 230-6784.Contact Information
Primary practice address
12700 Black Forest Ln Ste 300
Woodbridge VA 22192-5306
Phone: (703) 230-6784
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401417139 | Virginia |
Profile Details
| NPI number | 1922843176 |
|---|---|
| LBN Legal business name | Konstantinidou, Elisavet |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2024 |
| Last updated | Jun 28th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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