Organization
LET'S SMILE OF CENTREVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI YOUSEF GHATRI DDS (PRESIDENT)
(703) 719-5828
Entity
Organization
Contact information
Practice address
14701 LEE HWY STE 107, CENTREVILLE, VA 20121-2133
(703) 815-9000
Mailing address
4210 FAIRFAX CORNER AVE W STE 245, FAIRFAX, VA 22030-8627
(703) 719-5828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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