Organization
ISMILE OF MANASSAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RABIA RAFIQ (OWNER)
(434) 409-3893
Entity
Organization
Contact information
Practice address
10695 SUDLEY MANOR DR STE 102, MANASSAS, VA 20109-2884
(703) 369-2200
Mailing address
11700 PLAZA AMERICA DR STE 140, RESTON, VA 20190-4753
(434) 409-3893
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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