Smiles 4 Fairfax, Plc | |
11351 Random Hills Rd Suite 290 Fairfax VA 22030-6081 | |
(703) 865-6677 | |
(703) 865-6680 |
Full Name | Smiles 4 Fairfax, Plc |
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Speciality | Dentist - General Practice |
Location | 11351 Random Hills Rd, Fairfax, Virginia |
Authorized Official Name and Position | Howard The Ngo (OWNER/ DOCTOR) |
Authorized Official Contact | 7038656677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiles 4 Fairfax, Plc 11351 Random Hills Rd Suite 290 Fairfax VA 22030-6081 Ph: (703) 865-6677 | Smiles 4 Fairfax, Plc 11351 Random Hills Rd Suite 290 Fairfax VA 22030-6081 Ph: (703) 865-6677 |
NPI Number | 1942660873 |
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Provider Enumeration Date | 03/04/2016 |
Last Update Date | 03/04/2016 |
Identifier | Type | State | Issuer |
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1942660873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0401411836 (Virginia) | Primary |
1223G0001X | Dentist - General Practice | 0401414383 (Virginia) | Secondary |
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