Lets Smile Cosmetic Dentistry of Fairfax Pllc

NPI #1184348559 in Fairfax, Virginia

Provider Information

NPI Number: 1184348559
Entity Type: Organization
Organization Name: Lets Smile Cosmetic Dentistry of Fairfax Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 29, 2022
Last Updated: Sep 29, 2022

Practice Location

Address: 4210 FAIRFAX CORNER AVE W STE 245
City: Fairfax
State: Virginia
ZIP Code: 22030-8627
Phone: (703) 719-5828

Authorized Official

Name: DR. ALI Y GHATRI, DDS
Title: MEMBER
Phone: (703) 719-5828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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