# AESTHETIC DENTISTRY OF OAKTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033508148
- **Authorized official:** DR. JOSEPH A. KHALIL DDS (OWNER)
- **Authorized official phone:** (703) 255-1150

## Contact information

- **Practice address:** 2936 CHAIN BRIDGE RD, SUITE 200, OAKTON, VA 22124-3003
- **Practice address phone:** (703) 255-1150
- **Practice address fax:** (703) 255-2733
- **Mailing address:** 2936 CHAIN BRIDGE RD, SUITE 200, OAKTON, VA 22124-3003
- **Mailing address phone:** (703) 255-1150
- **Mailing address fax:** (703) 255-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401413652 | VA | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 01/13/2015