# SAXENA DENTAL FAIRFAX, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Smiles Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417279589
- **Authorized official:** DR. SUNIL SAXENA M.D. (PRESIDENT)
- **Authorized official phone:** (703) 508-4421

## Contact information

- **Practice address:** 3903 FAIR RIDGE DR, SUITE 214, FAIRFAX, VA 22033-2906
- **Practice address phone:** (703) 877-0775
- **Mailing address:** 20023 BELMONT STATION DR, ASHBURN, VA 20147-6611
- **Mailing address phone:** (703) 508-4421
- **Mailing address fax:** (703) 953-2392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410456 | VA | Yes |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 02/17/2010