Provider Demographics
NPI:1427565407
Name:CLAROS DENTAL SMILES PLLC
Entity Type:Organization
Organization Name:CLAROS DENTAL SMILES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CLAROS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-868-0033
Mailing Address - Street 1:4231 MARKHAM ST STE 214
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3023
Mailing Address - Country:US
Mailing Address - Phone:703-272-3943
Mailing Address - Fax:
Practice Address - Street 1:103 HIGHLANDER RD
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655
Practice Address - Country:US
Practice Address - Phone:540-868-0033
Practice Address - Fax:540-551-4107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLAROS DENTAL CARE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-29
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413369261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental