| Ismile Of Manassas Pllc | |
|
10695 Sudley Manor Dr Ste 102 Manassas VA 20109-2884 | |
| (703) 369-2200 | |
| Not Available |
| Full Name | Ismile Of Manassas Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10695 Sudley Manor Dr Ste 102, Manassas, Virginia |
| Authorized Official Name and Position | Rabia Rafiq (OWNER) |
| Authorized Official Contact | 4344093893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismile Of Manassas Pllc 11700 Plaza America Dr Ste 140 Reston VA 20190-4753 Ph: (434) 409-3893 | Ismile Of Manassas Pllc 10695 Sudley Manor Dr Ste 102 Manassas VA 20109-2884 Ph: (703) 369-2200 |
| NPI Number | 1265902407 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265902407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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