| Regal Dental Care | |
|
45985 Regal Plz Suite 160 Sterling VA 20165-6144 | |
| (703) 433-1122 | |
| (703) 433-0907 |
| Full Name | Regal Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 45985 Regal Plz, Sterling, Virginia |
| Authorized Official Name and Position | Mina Modaresi (PRESIDENT) |
| Authorized Official Contact | 7034331122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regal Dental Care 45985 Regal Plz Suite 160 Sterling VA 20165-6144 Ph: (703) 433-1122 | Regal Dental Care 45985 Regal Plz Suite 160 Sterling VA 20165-6144 Ph: (703) 433-1122 |
| NPI Number | 1851675185 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851675185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410066 (Virginia) | Primary |
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