Provider Demographics
NPI:1639505167
Name:AMAZING SMILS DESIGN, PLLC
Entity Type:Organization
Organization Name:AMAZING SMILS DESIGN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-462-8800
Mailing Address - Street 1:444 W BROAD ST
Mailing Address - Street 2:SUITE-D
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3344
Mailing Address - Country:US
Mailing Address - Phone:703-462-8800
Mailing Address - Fax:703-462-8197
Practice Address - Street 1:444 W BROAD ST
Practice Address - Street 2:SUITE-D
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3344
Practice Address - Country:US
Practice Address - Phone:703-462-8800
Practice Address - Fax:703-462-8197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412949122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty