Dr Shane Costa/Little Smiles
Dr Shane Costa/Little Smiles is a Dentist in Ashburn, Virginia. Licensed in Virginia. Registered with an NPI since 2013.
- Licensed in
- VA
- In the registry since
- 2013
Practice location Address checks out
42395 Ryan Rd Ste 104Ashburn, VA 20148-4863
Phone: (703) 757-0833
Fax: (703) 757-0833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 0401410911 (VA) |
|---|
Record details
| NPI number | 1649618711 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Costa — Doctor/Owner · (703) 757-0833 |
| NPI enumerated | June 11, 2013 |
| Last updated in NPPES | June 11, 2013 |
| Mailing address | 42395 Ryan Rd, Suite 104, Ashburn, VA 20148-4863 |
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