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 provides Dentist services 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

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