Smile Concept Pllc | |
7857 Heritage Dr Ste 320 Annandale VA 22003-5350 | |
(703) 721-4261 | |
(703) 782-8347 |
Full Name | Smile Concept Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 7857 Heritage Dr Ste 320, Annandale, Virginia |
Authorized Official Name and Position | Monica Eliana Chang (OWNER) |
Authorized Official Contact | 7037214261 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Concept Pllc 7857 Heritage Dr Ste 320 Annandale VA 22003-5350 Ph: (703) 721-4261 | Smile Concept Pllc 7857 Heritage Dr Ste 320 Annandale VA 22003-5350 Ph: (703) 721-4261 |
NPI Number | 1952961971 |
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Provider Enumeration Date | 06/20/2019 |
Last Update Date | 06/20/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952961971 | NPI | - | NPPES |
9225793 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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