Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairfax Dental Esthetics

Organization Dentist · NPI 1790349801

Fairfax Dental Esthetics is a Dentist in Fairfax, Virginia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

9621 Fairfax Blvd
Fairfax, VA 22031
Phone: (703) 279-3400
Fax: (703) 272-7726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1790349801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanae Bouallali-Berrada — Dds/Owner · (703) 279-3400
NPI enumeratedApril 24, 2019
Last updated in NPPESApril 24, 2019
Mailing address9621 Fairfax Blvd., Fairfax, VA 22031

Other providers in Fairfax