Provider Demographics
NPI:1952485518
Name:LANS, IKARS V (DDS)
Entity Type:Individual
Prefix:DR
First Name:IKARS
Middle Name:V
Last Name:LANS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44110 ASHBURN SHOPPING PLZ UNIT 166
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-3999
Mailing Address - Country:US
Mailing Address - Phone:703-729-1400
Mailing Address - Fax:703-729-1739
Practice Address - Street 1:44110 ASHBURN SHOPPING PLZ UNIT 166
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3999
Practice Address - Country:US
Practice Address - Phone:703-729-1400
Practice Address - Fax:703-729-1739
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010051961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice