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Organization

DR TOOTHFAIRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARA SALEH DDS MS (OWNER)
(810) 333-6063
Entity
Organization

Contact information

Practice address
105 E ANNANDALE RD STE 215, FALLS CHURCH, VA 22046-4422
(703) 677-8775
Mailing address
105 E ANNANDALE RD STE 215, FALLS CHURCH, VA 22046-4422

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
01/17/2023
Last updated
01/27/2023
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