Provider Demographics
NPI:1598117061
Name:JUST FOR YOUR SMILE DENTAL CLINIC
Entity Type:Organization
Organization Name:JUST FOR YOUR SMILE DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:OSSEIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-460-2626
Mailing Address - Street 1:10540 DEMOCRACY BLVD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4444
Mailing Address - Country:US
Mailing Address - Phone:301-299-0200
Mailing Address - Fax:301-299-0220
Practice Address - Street 1:10540 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4444
Practice Address - Country:US
Practice Address - Phone:301-299-0200
Practice Address - Fax:301-299-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty