| Woodbridge Smiles | |
|
14904 Jefferson Davis Hwy Suite 304 Woodbridge VA 22191-3908 | |
| (703) 910-4805 | |
| Not Available |
| Full Name | Woodbridge Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14904 Jefferson Davis Hwy, Woodbridge, Virginia |
| Authorized Official Name and Position | Sindhura Uppalapati (DIRECTOR/OWNER) |
| Authorized Official Contact | 7039990318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Smiles 11622 Verna Dr Oakton VA 22124-2045 Ph: (301) 520-0405 | Woodbridge Smiles 14904 Jefferson Davis Hwy Suite 304 Woodbridge VA 22191-3908 Ph: (703) 910-4805 |
| NPI Number | 1508252313 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508252313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401413727 (Virginia) | Primary |
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