# LANSDOWNE SMILE DESINE

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

## Provider details

- **NPI number:** 1316237225
- **Authorized official:** DR. AMIRREZA RAFAAT D.D.S.,PC (GENERAL DENTIST)
- **Authorized official phone:** (703) 724-4220

## Contact information

- **Practice address:** 19450 DEERFIELD AVE STE 465, LANSDOWNE, VA 20176-6822
- **Practice address phone:** (703) 724-4220
- **Practice address fax:** (703) 724-1910
- **Mailing address:** 19450 DEERFIELD AVE STE 465, LANSDOWNE, VA 20176-6822
- **Mailing address phone:** (703) 724-4220
- **Mailing address fax:** (703) 724-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410532 | VA | Yes |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 04/12/2011