Organization
SMILE STUDIO SPECIALIST INC
Active
Other names
smile studio Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELI JANABI (OWNER)
(919) 665-5555
Entity
Organization
Contact information
Practice address
7787 LEESBURG PIKE # 200, FALLS CHURCH, VA 22043-2412
(703) 982-2222
(703) 982-2223
Mailing address
7787 LEESBURG PIKE # 200, FALLS CHURCH, VA 22043-2412
(703) 982-2222
(703) 982-2223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
Primary
0401415327
VA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
06/21/2018
Last updated
10/11/2018
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