Organization
DJ PRACTICES PLLC
Active
Other names
Riverside Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
HETA S JASANI (OWNER)
(301) 744-7031
Entity
Organization
Contact information
Practice address
19415 DEERFIELD AVE STE 212, LEESBURG, VA 20176-8471
(301) 744-7031
Mailing address
19415 DEERFIELD AVE STE 212, LEESBURG, VA 20176-8471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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