Organization
SBK DDS PC
Active
Other names
Elegant Smiles Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN S KUMRA D.D.S (OWNER)
(703) 750-1099
Entity
Organization
Contact information
Practice address
4810 BEAUREGARD ST, SUITE 300, ALEXANDRIA, VA 22312-1709
(703) 750-1099
Mailing address
4810 BEAUREGARD ST, SUITE 300, ALEXANDRIA, VA 22312-1709
(703) 750-1099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411429
VA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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