| NPI | 1114574654 |
|---|---|
| Doing Business As | NEW SMILES DENTAL ALEXANDRIA |
| Entity Type | Organization |
| Authorized Contact | WENDY TAVARA Regional Manager 703-933-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |