Lifetime Smiles Burke

NPI #1316473937 in Burke, Virginia

Provider Information

NPI Number: 1316473937
Entity Type: Organization
Organization Name: Lifetime Smiles Burke
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 2, 2017
Last Updated: May 2, 2017

Practice Location

Address: 5200A ROLLING RD
City: Burke
State: Virginia
ZIP Code: 22015-4696
Phone: (703) 323-3910

Authorized Official

Name: SINA REANGBER, DDS
Title: OWNER
Phone: (703) 624-5766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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