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Organization
BRIGHTER SMILE FAMILY DENTISTRY AND ORTHODONTICS
Active
Organization
BRIGHTER SMILE FAMILY DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHRA KAVIANPOUR DDS (DENTIST)
(703) 444-3412
Entity
Organization
Contact information
Practice address
46400 BENEDICT DR STE 109, STERLING, VA 20164-6605
(703) 444-3412
Mailing address
46400 BENEDICT DR STE 109, STERLING, VA 20164-6605
(703) 444-3412
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
Other
Enumeration date
08/29/2023
Last updated
08/30/2023
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