Organization
LETS SMILE COSMETIC DENTISTRY OF FAIRFAX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI Y GHATRI DDS (MEMBER)
(703) 719-5828
Entity
Organization
Contact information
Practice address
4210 FAIRFAX CORNER AVE W STE 245, FAIRFAX, VA 22030-8627
(703) 719-5828
Mailing address
4210 FAIRFAX CORNER AVE W STE 245, FAIRFAX, VA 22030-8627
(703) 719-5828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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