| Great Smile Dental | |
|
900 N Randolph St Suite #103 Arlington VA 22203-1949 | |
| (703) 243-3300 | |
| Not Available |
| Full Name | Great Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 900 N Randolph St, Arlington, Virginia |
| Authorized Official Name and Position | Homan Solemaninejad (PRESIDENT) |
| Authorized Official Contact | 7038625824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smile Dental 900 N Randolph St Suite #103 Arlington VA 22203-1949 Ph: () - | Great Smile Dental 900 N Randolph St Suite #103 Arlington VA 22203-1949 Ph: (703) 243-3300 |
| NPI Number | 1629467881 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629467881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410638 (Virginia) | Primary |
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