Organization
ELEGANT SMILES PLLC
Active
Other names
Cannon Branch Dental of Manassas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD KASHIF DDS (OWNER)
(703) 386-4001
Entity
Organization
Contact information
Practice address
9749 BUCHANAN LOOP, MANASSAS, VA 20110-7856
(703) 333-3333
Mailing address
9749 BUCHANAN LOOP, MANASSAS, VA 20110-7856
(703) 996-4414
(703) 659-6767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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