Let'S Smile Ortho Herndon, PLLC
Clinic/Center, Dental in Herndon, VA. Organization (NPI-2).
NPI number1497480974
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1497480974
- Entity type
- Organization (NPI-2)
- Legal business name
- Let'S Smile Ortho Herndon, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
13015 Worldgate DrHerndon, VA 20170-4374
Phone 703-719-5828
Mailing address
4210 Fairfax Corner Ave W Ste 245Fairfax, VA 22030-8627
Phone 703-719-5828
Authorized official
Ali Y Ghatri
President
7037195828
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