| Graceful Smiles LLC | |
|
6120 Brandon Ave Ste 317 Springfield VA 22150-2504 | |
| (703) 451-3303 | |
| Not Available |
| Full Name | Graceful Smiles LLC |
|---|---|
| Speciality | Dentist |
| Location | 6120 Brandon Ave Ste 317, Springfield, Virginia |
| Authorized Official Name and Position | Andrew Kim (MANAGER) |
| Authorized Official Contact | 7036777202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Smiles LLC 6120 Brandon Ave Ste 317 Springfield VA 22150-2504 Ph: (703) 451-3303 | Graceful Smiles LLC 6120 Brandon Ave Ste 317 Springfield VA 22150-2504 Ph: (703) 451-3303 |
| NPI Number | 1740886860 |
|---|---|
| Provider Enumeration Date | 12/05/2020 |
| Last Update Date | 12/05/2020 |
| Certification Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740886860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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