| Smile at Ashburn Dental | |
|
21035 Sycolin Rd Ste 85 Ashburn VA 20147-4311 | |
| (703) 239-7575 | |
| (571) 517-2106 |
| Full Name | Smile at Ashburn Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21035 Sycolin Rd Ste 85, Ashburn, Virginia |
| Authorized Official Name and Position | Mina Armanious (DDS/OWNER) |
| Authorized Official Contact | 7032397575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile at Ashburn Dental 21035 Sycolin Rd Ste 85 Ashburn VA 20147-4311 Ph: (703) 239-7575 | Smile at Ashburn Dental 21035 Sycolin Rd Ste 85 Ashburn VA 20147-4311 Ph: (703) 239-7575 |
| NPI Number | 1679284970 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679284970 | NPI | - | NPPES |
| 1063070068 | Medicaid | VA | |
| 30017501710001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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