| Elegant Smiles Dental Care | |
|
4810 Beauregard St Suite 300 Alexandria VA 22312-1709 | |
| (703) 750-1099 | |
| Not Available |
| Full Name | Elegant Smiles Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4810 Beauregard St, Alexandria, Virginia |
| Authorized Official Name and Position | Shawn S Kumra (OWNER) |
| Authorized Official Contact | 7037501099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elegant Smiles Dental Care 4810 Beauregard St Suite 300 Alexandria VA 22312-1709 Ph: (703) 750-1099 | Elegant Smiles Dental Care 4810 Beauregard St Suite 300 Alexandria VA 22312-1709 Ph: (703) 750-1099 |
| NPI Number | 1275806226 |
|---|---|
| Provider Enumeration Date | 02/21/2012 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275806226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411429 (Virginia) | Primary |
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