| Neo Smiles Pllc | |
|
2321 Dulles Station Blvd Ste B Herndon VA 20171-6278 | |
| (703) 424-9555 | |
| Not Available |
| Full Name | Neo Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2321 Dulles Station Blvd Ste B, Herndon, Virginia |
| Authorized Official Name and Position | Shilpa Reddy Regatti (OWNER) |
| Authorized Official Contact | 7034249555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neo Smiles Pllc 2321 Dulles Station Blvd Ste B Herndon VA 20171-6278 Ph: (703) 424-9555 | Neo Smiles Pllc 2321 Dulles Station Blvd Ste B Herndon VA 20171-6278 Ph: (703) 424-9555 |
| NPI Number | 1568276608 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568276608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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