# JUNIOR SMILES OF STAFFORD PLLC

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

## Provider details

- **NPI number:** 1285184036
- **Authorized official:** DR. FAHD YOUSAF DDS (OWNER)
- **Authorized official phone:** (540) 699-2441

## Contact information

- **Practice address:** 963 GARRISONVILLE RD, SUITE 103, STAFFORD, VA 22556-3906
- **Practice address phone:** (540) 699-2441
- **Mailing address:** 963 GARRISONVILLE RD, SUITE 103, STAFFORD, VA 22556-3906
- **Mailing address phone:** (540) 699-2441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1447676887 | VA | Yes |

## Other

- **Enumeration date:** 10/05/2016
- **Last updated:** 10/05/2016