Organization · Type 2 NPI

Ismile of Manassas PLLC

Dental Clinic/Center · Manassas, VA

NPI number 1265902407 Active

Practice location

10695 Sudley Manor Dr Ste 102
Manassas, VA 20109-2884

Call (703) 369-2200 Map

Mailing address

11700 Plaza America Dr Ste 140
Reston, VA 20190-4753

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1265902407

Ismile of Manassas PLLC's National Provider Identifier is 1265902407, issued on Nov 30, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Manassas, VA. The record was last updated on Nov 30, 2018.