| NPI | 1770912560 |
|---|---|
| Doing Business As | SPORTING SMILES PEDIATRIC DENTISTRY & FAMILY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NATASHA KHURANA Owner, Pediatric Dentist 571-248-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401413436) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401412461) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |