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Organization
ELEGANT SMILES PLLC
Active
Organization
ELEGANT SMILES PLLC
Active
Other names
Cannon Branch Dental of Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD KASHIF DDS (OWNER)
(703) 386-4001
Entity
Organization
Contact information
Practice address
9749 BUCHANAN LOOP, MANASSAS, VA 20110-7856
(703) 333-3333
Mailing address
9749 BUCHANAN LOOP, MANASSAS, VA 20110-7856
(703) 996-4414
(703) 659-6767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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