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Organization
GORGEOUS SMILE PLLC
Active
Organization
GORGEOUS SMILE PLLC
Active
Other names
Gorgeous Smile PLLC, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED T AL-SALIM DDS (OWNER)
(619) 278-9239
Entity
Organization
Contact information
Practice address
4001 9TH ST N STE 218, ARLINGTON, VA 22203-1900
(619) 278-9239
Mailing address
13113 SHADOWBROOK LN, FAIRFAX, VA 22033-5405
(619) 278-9239
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
VA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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