Organization
A HEALTHY SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHEL FARHANGI DDS (GENERAL DENTIST)
(703) 798-0766
Entity
Organization
Contact information
Practice address
4605D PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1442
(703) 798-0766
Mailing address
4605D PINECREST OFFICE PARK DR, ALEXANDRIA, VA 22312-1442
(703) 798-0766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414734
VA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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