Super Smile Center of Tysons

NPI #1417403767 in Falls Church, Virginia

Provider Information

NPI Number: 1417403767
Entity Type: Organization
Organization Name: Super Smile Center of Tysons
Primary Specialty: Dentist
Enumeration Date: Aug 28, 2016
Last Updated: Aug 28, 2016

Practice Location

Address: 7115 LEESBUG PIKE
Address 2: #216
City: Falls Church
State: Virginia
ZIP Code: 22043
Phone: (703) 532-4400

Authorized Official

Name: DR. AMISHA N SHROFF
Title: OWNER / DENTIST
Phone: (703) 532-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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