| Smileline Dental Pc | |
|
106 Elden St Ste 18 Herndon VA 20170-4826 | |
| (571) 512-6099 | |
| Not Available |
| Full Name | Smileline Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 Elden St Ste 18, Herndon, Virginia |
| Authorized Official Name and Position | Sangeetha Bhasavraju (GENERAL DENTIST) |
| Authorized Official Contact | 5715126099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileline Dental Pc 106 Elden St Ste 18 Herndon VA 20170-4826 Ph: (571) 512-6099 | Smileline Dental Pc 106 Elden St Ste 18 Herndon VA 20170-4826 Ph: (571) 512-6099 |
| NPI Number | 1538822663 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538822663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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