| Smilevillekids | |
|
46165 Westlake Dr Suite 200 Sterling VA 20165-5872 | |
| (650) 450-2320 | |
| Not Available |
| Full Name | Smilevillekids |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 46165 Westlake Dr, Sterling, Virginia |
| Authorized Official Name and Position | Mina Dadkhah (OWNER) |
| Authorized Official Contact | 6504502320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilevillekids 1836 Pimmit Dr Falls Church VA 22043-1105 Ph: () - | Smilevillekids 46165 Westlake Dr Suite 200 Sterling VA 20165-5872 Ph: (650) 450-2320 |
| NPI Number | 1245667922 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245667922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401412045 (Virginia) | Primary |
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