Organization · Type 2 NPI
Pediatric Smiles of Fairfax, PLLC
Dental Clinic/Center · Fairfax, VA
NPI number
1659038883
Active
Practice location
13135 Lee Jackson Hwy Ste 110
Fairfax, VA 22033-1909
Mailing address
12705 Theresa Dr
Silver Spring, MD 20904-3561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1659038883
Pediatric Smiles of Fairfax, PLLC's National Provider Identifier is 1659038883, issued on Nov 22, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 22, 2021.