Organization
JUNIOR SMILES OF STAFFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAHD YOUSAF DDS (OWNER)
(540) 699-2441
Entity
Organization
Contact information
Practice address
963 GARRISONVILLE RD, SUITE 103, STAFFORD, VA 22556-3906
(540) 699-2441
Mailing address
963 GARRISONVILLE RD, SUITE 103, STAFFORD, VA 22556-3906
(540) 699-2441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1447676887
VA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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