Provider Demographics
NPI:1356498356
Name:DEAN-DURU, LYNDA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:
Last Name:DEAN-DURU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44025 PIPELINE PLZ
Mailing Address - Street 2:SUITE 1-225
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5881
Mailing Address - Country:US
Mailing Address - Phone:703-723-8440
Mailing Address - Fax:703-723-8443
Practice Address - Street 1:44025 PIPELINE PLZ
Practice Address - Street 2:SUITE 1-225
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5881
Practice Address - Country:US
Practice Address - Phone:703-723-8440
Practice Address - Fax:703-723-8443
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04010087851223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry