Organization
SMILE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH AHMAD DDS (DENTIST)
(703) 379-1900
Entity
Organization
Contact information
Practice address
5645 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
(703) 379-1900
(703) 671-6338
Mailing address
5645 COLUMBIA PIKE, FALLS CHURCH, VA 22041-2867
(703) 379-1900
(703) 671-6338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007885
VA
1223G0001X
General Practice Dentistry
0401412506
VA
1223G0001X
General Practice Dentistry
0401412601
VA
1223G0001X
General Practice Dentistry
0401412687
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401411908
VA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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