Loza, Luis

Loza, Luis is an sole proprietor health care provider with primary practice located at 602 S King St Suite 302, Leesburg VA 20175-3919. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Loza, Luis can be contacted via phone (703) 777-2442.

Contact Information

Primary practice address
602 S King St Suite 302 Leesburg VA 20175-3919
Fax: (703) 777-1510
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410996 Virginia

Profile Details

NPI number 1265584007
LBN Legal business name Loza, Luis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Dec 17th, 2018 - about 8 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265584007 NPPES
Virginia Other 113660124 TAX IDENTIFICATION
Virginia Other 542034392 TAX IDENTIFICATION
Virginia Other 841629676 TAX IDENTIFICATION

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