Little Smiles Pediatric Dentistry | |
42395 Ryan Rd Ste 104 Ashburn VA 20148-4864 | |
(703) 542-7000 | |
(703) 542-6900 |
Full Name | Little Smiles Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 42395 Ryan Rd Ste 104, Ashburn, Virginia |
Authorized Official Name and Position | Jonathon Konz (PEDIATRIC DENTIST/OWNER) |
Authorized Official Contact | 7035427000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Little Smiles Pediatric Dentistry 42395 Ryan Rd Ste 104 Ashburn VA 20148-4864 Ph: (703) 542-7000 | Little Smiles Pediatric Dentistry 42395 Ryan Rd Ste 104 Ashburn VA 20148-4864 Ph: (703) 542-7000 |
NPI Number | 1831603935 |
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Provider Enumeration Date | 11/28/2017 |
Last Update Date | 11/28/2017 |
Identifier | Type | State | Issuer |
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1831603935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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