Junior Smiles of Stafford Pllc

NPI #1285184036 in Stafford, Virginia

Provider Information

NPI Number: 1285184036
Entity Type: Organization
Organization Name: Junior Smiles of Stafford Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 963 GARRISONVILLE RD
Address 2: SUITE 103
City: Stafford
State: Virginia
ZIP Code: 22556-3906
Phone: (540) 699-2441

Authorized Official

Name: DR. FAHD YOUSAF, DDS
Title: OWNER
Phone: (540) 699-2441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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