# LET'S SMILE OF CENTREVILLE, PLLC

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

## Provider details

- **NPI number:** 1427716463
- **Authorized official:** DR. ALI YOUSEF GHATRI DDS (PRESIDENT)
- **Authorized official phone:** (703) 719-5828

## Contact information

- **Practice address:** 14701 LEE HWY STE 107, CENTREVILLE, VA 20121-2133
- **Practice address phone:** (703) 815-9000
- **Mailing address:** 4210 FAIRFAX CORNER AVE W STE 245, FAIRFAX, VA 22030-8627
- **Mailing address phone:** (703) 719-5828

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2021
- **Last updated:** 12/07/2021