Herndon Walking Smiles

NPI #1992110811 in Herndon, Virginia

Provider Information

NPI Number: 1992110811
Entity Type: Organization
Organization Name: Herndon Walking Smiles
Primary Specialty: Dentist
Enumeration Date: Jun 30, 2014
Last Updated: Jun 30, 2014

Practice Location

Address: 201 ELDEN ST STE 102
City: Herndon
State: Virginia
ZIP Code: 20170-4812
Phone: (703) 437-6366

Authorized Official

Name: MALIK M USMAN, DDS
Title: DENTIST
Phone: (240) 505-2012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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