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Organization
SMILE STUDIO SPECIALIST INC
Active
Organization
SMILE STUDIO SPECIALIST INC
Active
Other names
smile studio Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELI JANABI (OWNER)
(919) 665-5555
Entity
Organization
Contact information
Practice address
7787 LEESBURG PIKE # 200, FALLS CHURCH, VA 22043-2412
(703) 982-2222
(703) 982-2223
Mailing address
7787 LEESBURG PIKE # 200, FALLS CHURCH, VA 22043-2412
(703) 982-2222
(703) 982-2223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
Primary
0401415327
VA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
NULL
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
06/21/2018
Last updated
10/11/2018
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