# SMILES 4 FAIRFAX, PLC

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

## Provider details

- **NPI number:** 1942660873
- **Authorized official:** HOWARD THE NGO (OWNER/ DOCTOR)
- **Authorized official phone:** (703) 865-6677

## Contact information

- **Practice address:** 11351 RANDOM HILLS RD, SUITE 290, FAIRFAX, VA 22030-6081
- **Practice address phone:** (703) 865-6677
- **Practice address fax:** (703) 865-6680
- **Mailing address:** 11351 RANDOM HILLS RD, SUITE 290, FAIRFAX, VA 22030-6081
- **Mailing address phone:** (703) 865-6677
- **Mailing address fax:** (703) 865-6680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411836 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401414383 | VA | — |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016