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Organization

ALDIE SMILES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD PARK DMD (DENTIST)
(571) 463-1184
Entity
Organization

Contact information

Practice address
24560 SOUTHPOINT DR # 370, ALDIE, VA 20105-3510
(571) 463-1184
Mailing address
24560 SOUTHPOINT DR STE 370, ALDIE, VA 20105-3513
(571) 463-1184

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
07/11/2024
Last updated
03/05/2025
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