| Herndon Healthy Smiles | |
|
201 Elden St Ste 102 Herndon VA 20170-4812 | |
| (703) 437-6366 | |
| Not Available |
| Full Name | Herndon Healthy Smiles |
|---|---|
| Speciality | Dentist |
| Location | 201 Elden St Ste 102, Herndon, Virginia |
| Authorized Official Name and Position | Joseph Alwan (OWNER) |
| Authorized Official Contact | 2104105764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herndon Healthy Smiles 201 Elden St Ste 102 Herndon VA 20170-4812 Ph: (703) 437-6366 | Herndon Healthy Smiles 201 Elden St Ste 102 Herndon VA 20170-4812 Ph: (703) 437-6366 |
| NPI Number | 1437696499 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437696499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401415274 (Virginia) | Primary |
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