| NPI | 1518118413 |
|---|---|
| Doing Business As | SOUTH RIDING SMILES |
| Entity Type | Organization |
| Authorized Contact | NICOLE K SEATON Practice Manager 703-327-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 6141) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401007799) |
| 122300000X Dentist (Licence: VA 401410902) | |
| 122300000X Dentist (Licence: VA 0401414044) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2016-02-19 |