| Let's Smile Ortho Herndon, Pllc | |
|
13015 Worldgate Dr Herndon VA 20170-4374 | |
| (703) 719-5828 | |
| Not Available |
| Full Name | Let's Smile Ortho Herndon, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13015 Worldgate Dr, Herndon, Virginia |
| Authorized Official Name and Position | Ali Y Ghatri (PRESIDENT) |
| Authorized Official Contact | 7037195828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Let's Smile Ortho Herndon, Pllc 4210 Fairfax Corner Ave W Ste 245 Fairfax VA 22030-8627 Ph: (703) 719-5828 | Let's Smile Ortho Herndon, Pllc 13015 Worldgate Dr Herndon VA 20170-4374 Ph: (703) 719-5828 |
| NPI Number | 1497480974 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497480974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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