Organization
HERNDON WALKING SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK M USMAN DDS (DENTIST)
(240) 505-2012
Entity
Organization
Contact information
Practice address
201 ELDEN ST STE 102, HERNDON, VA 20170-4812
(703) 437-6366
(703) 435-8485
Mailing address
201 ELDEN ST STE 102, HERNDON, VA 20170-4812
(703) 437-6366
(703) 435-8485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413042
VA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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