Organization
RAJA, RAFIQ & ASSOCIATES PLLC
Active
Other names
iSmile Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAIMOUR RAJA DDS (CEO)
(434) 249-3793
Entity
Organization
Contact information
Practice address
11700 PLAZA AMERICA DR, SUITE 140, RESTON, VA 20190-4751
(571) 222-4900
Mailing address
11700 PLAZA AMERICA DR, SUITE 140, RESTON, VA 20190-4751
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401411994
VA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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