# A HEALTHY SMILE LLC

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

## Provider details

- **NPI number:** 1992188973
- **Authorized official:** SAHEL FARHANGI DDS (GENERAL DENTIST)
- **Authorized official phone:** (703) 798-0766

## Contact information

- **Practice address:** 4605D PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1442
- **Practice address phone:** (703) 798-0766
- **Mailing address:** 4605D PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1442
- **Mailing address phone:** (703) 798-0766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401414734 | VA | Yes |

## Other

- **Enumeration date:** 07/08/2015
- **Last updated:** 07/08/2015