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General NPI Number Information
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NPI Number | 1174023667
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Entity Type | Organization
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Legal Business Name | SMILE DOCTORS VIRGINIA, PLLC
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 3138 GOLANSKY BLVD
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4260
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Country | US
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Telephone | 703-878-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 3138 GOLANSKY BLVD STE 101
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City | WOODBRIDGE
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State | VA
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Zip | 22192-4260
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Country | US
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Telephone | 703-878-7969
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. AMAN SACHDEV
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Credential | DDS
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Telephone | 703-658-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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