Graceful Smiles LLC

NPI #1740886860 in Springfield, Virginia

Provider Information

NPI Number: 1740886860
Entity Type: Organization
Organization Name: Graceful Smiles LLC
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2020
Last Updated: Dec 5, 2020

Practice Location

Address: 6120 BRANDON AVE STE 317
City: Springfield
State: Virginia
ZIP Code: 22150-2504
Phone: (703) 451-3303

Authorized Official

Name: ANDREW KIM
Title: MANAGER
Phone: (703) 677-7202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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