| Starlight Smiles Pediatric Dentistry, P.c. | |
|
10050 Sowder Village Square Manassas VA 20109 | |
| (571) 833-1440 | |
| (571) 833-1441 |
| Full Name | Starlight Smiles Pediatric Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10050 Sowder Village Square, Manassas, Virginia |
| Authorized Official Name and Position | Claire Escario (OWNER) |
| Authorized Official Contact | 2022581694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Smiles Pediatric Dentistry, P.c. 10050 Sowder Village Square Manassas VA 20109 Ph: (571) 833-1440 | Starlight Smiles Pediatric Dentistry, P.c. 10050 Sowder Village Square Manassas VA 20109 Ph: (571) 833-1440 |
| NPI Number | 1932788759 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932788759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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