| Gorgeous Smile Pllc | |
|
4001 9th St N Ste 218 Arlington VA 22203-1900 | |
| (619) 278-9239 | |
| Not Available |
| Full Name | Gorgeous Smile Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4001 9th St N Ste 218, Arlington, Virginia |
| Authorized Official Name and Position | Ahmed T Al-salim (OWNER) |
| Authorized Official Contact | 6192789239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorgeous Smile Pllc 13113 Shadowbrook Ln Fairfax VA 22033-5405 Ph: (619) 278-9239 | Gorgeous Smile Pllc 4001 9th St N Ste 218 Arlington VA 22203-1900 Ph: (619) 278-9239 |
| NPI Number | 1114412848 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114412848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Virginia) | Primary |
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