# UR SMILE DENTAL

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

## Provider details

- **NPI number:** 1043895808
- **Authorized official:** DR. MANPREET KAUR (PRESIDENT)
- **Authorized official phone:** (571) 877-6453

## Contact information

- **Practice address:** 201 ELDEN ST STE 102, HERNDON, VA 20170-4812
- **Practice address phone:** (571) 877-6453
- **Practice address fax:** (571) 466-2783
- **Mailing address:** 201 ELDEN ST STE 102, HERNDON, VA 20170-4812
- **Mailing address phone:** (571) 877-6453
- **Mailing address fax:** (571) 466-2783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2021
- **Last updated:** 06/25/2021