| All Smiles Orthodontics | |
|
9010 Lorton Station Blvd #260 Lorton VA 22079-4792 | |
| (703) 337-4414 | |
| Not Available |
| Full Name | All Smiles Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9010 Lorton Station Blvd, Lorton, Virginia |
| Authorized Official Name and Position | Swathi R. Kuppam (OWNER) |
| Authorized Official Contact | 7033374414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Smiles Orthodontics 9010 Lorton Station Blvd #260 Lorton VA 22079-4792 Ph: (703) 337-4414 | All Smiles Orthodontics 9010 Lorton Station Blvd #260 Lorton VA 22079-4792 Ph: (703) 337-4414 |
| NPI Number | 1548559495 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548559495 | NPI | - | NPPES |
| 9209379 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401411870 (Virginia) | Primary |
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