# DREAM SMILE FAMILY DENTISTRY, PLC

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

## Provider details

- **NPI number:** 1225528656
- **Authorized official:** ARCHANA REJINTALA (MANAGER/DENTIST)
- **Authorized official phone:** (904) 566-6549

## Contact information

- **Practice address:** 24805 PINEBROOK RD STE 212, SOUTH RIDING, VA 20152-4128
- **Practice address phone:** (904) 566-6549
- **Mailing address:** 41646 BOSTONIAN PL, ALDIE, VA 20105-5648
- **Mailing address phone:** (904) 566-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2018
- **Last updated:** 05/10/2018