Organization
LET'S SMILE OF FAIRFAX PLLC
Active
Organization
LET'S SMILE OF FAIRFAX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI YOUSEF GHATRI DDS (CHIEF EXECUTIVE OFFICER)
(703) 719-5828
Entity
Organization
Contact information
Practice address
4210 FAIRFAX CORNER AVE W, SUITE 245, FAIRFAX, VA 22030-8619
(703) 719-5828
(703) 691-8877
Mailing address
4210 FAIRFAX CORNER AVE W, SUITE 245, FAIRFAX, VA 22030-8619
(703) 719-5828
(703) 691-8877
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
0401007980
VA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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