| NPI | 1326462367 |
|---|---|
| Doing Business As | EXPRESS SMILES |
| Entity Type | Organization |
| Authorized Contact | MARCOS GRANDE Dentist 703-471-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411982) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |