Organization
MINA DADKHAH DDS, PLLC
Active
Other names
SmilevilleKids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA DADKHAH DDS (OWNER)
(650) 450-2320
Entity
Organization
Contact information
Practice address
46165 WESTLAKE DR, SUITE 200, STERLING, VA 20165-5872
(650) 450-2320
Mailing address
1836 PIMMIT DR, FALLS CHURCH, VA 22043-1105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412045
VA
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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