| Precious Smiles Of Virginia | |
|
7841f Rolling Rd Springfield VA 22153-2821 | |
| (703) 455-1339 | |
| Not Available |
| Full Name | Precious Smiles Of Virginia |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7841f Rolling Rd, Springfield, Virginia |
| Authorized Official Name and Position | Nahee Williams Mcdonald (PRESIDENT) |
| Authorized Official Contact | 7034551339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Precious Smiles Of Virginia 7841f Rolling Rd Springfield VA 22153-2821 Ph: (703) 455-1339 | Precious Smiles Of Virginia 7841f Rolling Rd Springfield VA 22153-2821 Ph: (703) 455-1339 |
| NPI Number | 1174804280 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 09/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174804280 | NPI | - | NPPES |
| 9222808/106671 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401411394 (Virginia) | Primary |
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