# BRIGHTER SMILE FAMILY DENTISTRY AND ORTHODONTICS

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

## Provider details

- **NPI number:** 1154106052
- **Authorized official:** ZAHRA KAVIANPOUR DDS (DENTIST)
- **Authorized official phone:** (703) 444-3412

## Contact information

- **Practice address:** 46400 BENEDICT DR STE 109, STERLING, VA 20164-6605
- **Practice address phone:** (703) 444-3412
- **Mailing address:** 46400 BENEDICT DR STE 109, STERLING, VA 20164-6605
- **Mailing address phone:** (703) 444-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 08/30/2023