Organization
LANSDOWNE SMILE DESINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIRREZA RAFAAT D.D.S.,PC (GENERAL DENTIST)
(703) 724-4220
Entity
Organization
Contact information
Practice address
19450 DEERFIELD AVE STE 465, LANSDOWNE, VA 20176-6822
(703) 724-4220
(703) 724-1910
Mailing address
19450 DEERFIELD AVE STE 465, LANSDOWNE, VA 20176-6822
(703) 724-4220
(703) 724-1910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410532
VA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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