| Greenway Smiles Family Dentistry | |
|
43490 Yukon Dr Ste. 114 Ashburn VA 20147-6990 | |
| (571) 222-4243 | |
| (571) 248-7400 |
| Full Name | Greenway Smiles Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 43490 Yukon Dr, Ashburn, Virginia |
| Authorized Official Name and Position | Sreepreethi Gnanasundaram (DENTIST) |
| Authorized Official Contact | 5712224243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenway Smiles Family Dentistry 43490 Yukon Dr Ste. 114 Ashburn VA 20147-6990 Ph: (571) 222-4243 | Greenway Smiles Family Dentistry 43490 Yukon Dr Ste. 114 Ashburn VA 20147-6990 Ph: (571) 222-4243 |
| NPI Number | 1265840938 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265840938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401412993 (Virginia) | Primary |
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