# MALIK USMAN DDS, PC

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

## Provider details

- **NPI number:** 1811340599
- **Authorized official:** MALIK USMAN DDS (DENTIST, PRESIDENT)
- **Authorized official phone:** (774) 208-4431

## Contact information

- **Practice address:** 8559 SUDLEY ROAD, MANASSAS, VA 20110
- **Practice address phone:** (571) 350-9292
- **Practice address fax:** (571) 482-6979
- **Mailing address:** 8559 SUDLEY ROAD, MANASSAS, VA 20110
- **Mailing address phone:** (571) 350-9292
- **Mailing address fax:** (571) 482-6979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413042 | VA | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016
