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Organization

MODERN DENTAL SMILES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALIK USMAN DDS (DENTIST/OWNER)
(774) 208-4431
Entity
Organization

Contact information

Practice address
11077 MARSH RD STE A, BEALETON, VA 22712-5639
(571) 284-6424
(571) 636-1333
Mailing address
11077 MARSH RD STE A, BEALETON, VA 22712-5639
(571) 284-6424
(571) 636-1333

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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