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Organization
FAIRFAX SMILES DENTAL CARE PLC
Active
Organization
FAIRFAX SMILES DENTAL CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR SOYFER DMD PHD JD (MANAGER)
(703) 359-9080
Entity
Organization
Contact information
Practice address
3930 PENDER DR, SUITE110, FAIRFAX, VA 22030-0985
(703) 359-9080
Mailing address
3930 PENDER DR, SUITE110, FAIRFAX, VA 22030-0985
(703) 359-9080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401410407
VA
261QD0000X
Dental Clinic/Center
Primary
0401410407
VA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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