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Organization
SMILEON DENTISTRY PLLC
Active
Organization
SMILEON DENTISTRY PLLC
Active
Other names
SmileOn Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROHINI BANAVAR DMD (DENTIST)
(703) 543-8112
Entity
Organization
Contact information
Practice address
5742 PICKWICK RD, CENTREVILLE, VA 20121-4730
(703) 543-8112
(703) 825-1644
Mailing address
5742 PICKWICK RD, CENTREVILLE, VA 20121-4730
(703) 543-8112
(703) 825-1644
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/10/2021
Last updated
05/27/2021
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