# IDEAL SMILE LLC

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

## Provider details

- **NPI number:** 1629581715
- **Authorized official:** AHMED ELKHARASHI DOCTOR (OWNER)
- **Authorized official phone:** (804) 716-5430

## Contact information

- **Practice address:** 8904 W BROAD ST, STE 202, HENRICO, VA 23294
- **Practice address phone:** (804) 716-5430
- **Mailing address:** 8904 W BROAD ST, STE 202, HENRICO, VA 23294
- **Mailing address phone:** (804) 716-5430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412655 | VA | Yes |

## Other

- **Enumeration date:** 11/10/2017
- **Last updated:** 08/20/2026