Herndon Walking Smiles | |
201 Elden St Ste 102 Herndon VA 20170-4812 | |
(703) 437-6366 | |
(703) 435-8485 |
Full Name | Herndon Walking Smiles |
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Speciality | Dentist |
Location | 201 Elden St Ste 102, Herndon, Virginia |
Authorized Official Name and Position | Malik M Usman (DENTIST) |
Authorized Official Contact | 2405052012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Herndon Walking Smiles 201 Elden St Ste 102 Herndon VA 20170-4812 Ph: (703) 437-6366 | Herndon Walking Smiles 201 Elden St Ste 102 Herndon VA 20170-4812 Ph: (703) 437-6366 |
NPI Number | 1992110811 |
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Provider Enumeration Date | 06/30/2014 |
Last Update Date | 06/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992110811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401413042 (Virginia) | Primary |
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