Herndon Smile Design Pllc

NPI #1407484066 in Herndon, Virginia

Provider Information

NPI Number: 1407484066
Entity Type: Organization
Organization Name: Herndon Smile Design Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 30, 2020
Last Updated: Apr 1, 2020

Practice Location

Address: 504 ELDEN ST
City: Herndon
State: Virginia
ZIP Code: 20170-4741
Phone: (703) 464-0000

Authorized Official

Name: DEBBIE THORPE
Title: CREDENTIALING SPECIALIST
Phone: (410) 409-9202

Specialties & Taxonomy Codes

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

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