| Express Smiles | |
|
108 Elden St 10 Herndon VA 20170-4828 | |
| (703) 471-7164 | |
| (703) 471-1801 |
| Full Name | Express Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Marcos Grande (DENTIST) |
| Authorized Official Contact | 7034717164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Smiles 108 Elden St 10 Herndon VA 20170-4828 Ph: (703) 471-7164 | Express Smiles 108 Elden St 10 Herndon VA 20170-4828 Ph: (703) 471-7164 |
| NPI Number | 1326462367 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 02/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326462367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411982 (Virginia) | Primary |
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