| Smileville | |
|
6354 Walker Ln Suite 103 Alexandria VA 22310-3229 | |
| (703) 417-9722 | |
| Not Available |
| Full Name | Smileville |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6354 Walker Ln, Alexandria, Virginia |
| Authorized Official Name and Position | Alireza Sharafi (OWNER) |
| Authorized Official Contact | 7034179722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileville 6437 Rockshire St Alexandria VA 22315-3436 Ph: () - | Smileville 6354 Walker Ln Suite 103 Alexandria VA 22310-3229 Ph: (703) 417-9722 |
| NPI Number | 1417274747 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417274747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401412044 (Virginia) | Primary |
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