Organization
GALLERIA DENTAL SMILES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMER M WAHAB DDS (OWNER)
(703) 368-9777
Entity
Organization
Contact information
Practice address
1094 ELDEN ST, HERNDON, VA 20170-3803
(703) 787-2273
(703) 787-8243
Mailing address
1094 ELDEN ST, HERNDON, VA 20170-3803
(703) 787-2273
(703) 787-8243
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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