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Organization
YOUR COMMUNITY SMILE, PLLC
Active
Organization
YOUR COMMUNITY SMILE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED IBRAHIM (OWNER)
(703) 624-8188
Entity
Organization
Contact information
Practice address
19420 GOLF VISTA PLZ STE 210, LEESBURG, VA 20176-8267
(703) 724-0015
Mailing address
19420 GOLF VISTA PLZ STE 210, LEESBURG, VA 20176-8267
(703) 724-0015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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