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Organization
DREAM SMILE FAMILY DENTISTRY, PLC
Active
Organization
DREAM SMILE FAMILY DENTISTRY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA REJINTALA (MANAGER/DENTIST)
(904) 566-6549
Entity
Organization
Contact information
Practice address
24805 PINEBROOK RD STE 212, SOUTH RIDING, VA 20152-4128
(904) 566-6549
Mailing address
41646 BOSTONIAN PL, ALDIE, VA 20105-5648
(904) 566-6549
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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