| Super Smile Center Of Tysons | |
|
7115 Leesbug Pike #216 Falls Church VA 22043 | |
| (703) 532-4400 | |
| (703) 532-7400 |
| Full Name | Super Smile Center Of Tysons |
|---|---|
| Speciality | Dentist |
| Location | 7115 Leesbug Pike, Falls Church, Virginia |
| Authorized Official Name and Position | Amisha N Shroff (OWNER / DENTIST) |
| Authorized Official Contact | 7035324400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Smile Center Of Tysons 7115 Leesbug Pike 216 Falls Church VA 22043 Ph: (703) 532-4400 | Super Smile Center Of Tysons 7115 Leesbug Pike #216 Falls Church VA 22043 Ph: (703) 532-4400 |
| NPI Number | 1417403767 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417403767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411963 (Virginia) | Primary |
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