Organization
PEDIATRIC SMILES OF FAIRFAX, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMIN FLOYD DMD (OWNER)
(908) 472-5358
Entity
Organization
Contact information
Practice address
13135 LEE JACKSON HWY STE 110, FAIRFAX, VA 22033-1909
(908) 472-5358
Mailing address
12705 THERESA DR, SILVER SPRING, MD 20904-3561
(908) 472-5358
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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