| Smile Doctors Orthodontics Of Virginia Pc | |
|
22855 Brambleton Plz Ste 200 Brambleton VA 20148-4871 | |
| (703) 574-2174 | |
| Not Available |
| Full Name | Smile Doctors Orthodontics Of Virginia Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 22855 Brambleton Plz Ste 200, Brambleton, Virginia |
| Authorized Official Name and Position | Gregory Goggans (PRESIDENT) |
| Authorized Official Contact | 7035742174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Doctors Orthodontics Of Virginia Pc Po Box 674509 Dallas TX 75267-4509 Ph: () - | Smile Doctors Orthodontics Of Virginia Pc 22855 Brambleton Plz Ste 200 Brambleton VA 20148-4871 Ph: (703) 574-2174 |
| NPI Number | 1982293064 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982293064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Bobbio Family Dental At Birchwood Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23710 Schooler Plaza #215, Brambleton, VA 20148 Phone: 703-402-0281 |