Healthcare Provider Details

I. General information

NPI: 1619811940
Provider Name (Legal Business Name): ETERNA SMILES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4434 MACARTHUR BLVD NW STE 201
WASHINGTON DC
20007-2550
US

IV. Provider business mailing address

2601 CALVERT ST NW APT 1154
WASHINGTON DC
20008-2721
US

V. Phone/Fax

Practice location:
  • Phone: 202-333-2200
  • Fax: 202-333-2260
Mailing address:
  • Phone: 202-333-2200
  • Fax: 202-333-2260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RAHMA ELNAGHY
Title or Position: OWNER
Credential: DDS
Phone: 216-971-2819