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Organization

M.G. SMITH, D.D.S., P.L.C.

Active
Other names
Alexandria Advanced Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK SMITH DDS (MANAGER)
(703) 751-7300
Entity
Organization

Contact information

Practice address
4660 KENMORE AVE, SUITE 318, ALEXANDRIA, VA 22304-1313
(703) 751-7300
(703) 991-0556
Mailing address
4660 KENMORE AVE, SUITE 318, ALEXANDRIA, VA 22304-1313
(703) 751-7300
(703) 991-0556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006438
VA

Other

Enumeration date
03/08/2007
Last updated
08/22/2020
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