Organization
SMILE CONCEPT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA ELIANA CHANG D.D.S (OWNER)
(703) 721-4261
Entity
Organization
Contact information
Practice address
7857 HERITAGE DR STE 320, ANNANDALE, VA 22003-5350
(703) 721-4261
(703) 782-8347
Mailing address
7857 HERITAGE DR STE 320, ANNANDALE, VA 22003-5350
(703) 721-4261
(703) 782-8347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9225793
—
VA
Enumeration date
06/20/2019
Last updated
06/20/2019
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