Provider Demographics
NPI:1952731796
Name:RONALD V. BURO DDS PLLC
Entity Type:Organization
Organization Name:RONALD V. BURO DDS PLLC
Other - Org Name:FAMILY FIRST DENTAL AND ORTHODONTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:BURO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-777-1515
Mailing Address - Street 1:230 FORT EVANS RD NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-4497
Mailing Address - Country:US
Mailing Address - Phone:703-777-1515
Mailing Address - Fax:703-777-7202
Practice Address - Street 1:230 FORT EVANS RD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-777-1515
Practice Address - Fax:703-777-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410970122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty