| Reston Sunrise Dentistry, Pc | |
|
12359 Sunrise Valley Dr Ste 330 Reston VA 20191-3463 | |
| (703) 860-4149 | |
| Not Available |
| Full Name | Reston Sunrise Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 12359 Sunrise Valley Dr Ste 330, Reston, Virginia |
| Authorized Official Name and Position | Hanah Hanh Pham (PRESIDENT) |
| Authorized Official Contact | 7038604149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Sunrise Dentistry, Pc 12359 Sunrise Valley Dr Ste 330 Reston VA 20191-3463 Ph: (703) 860-4149 | Reston Sunrise Dentistry, Pc 12359 Sunrise Valley Dr Ste 330 Reston VA 20191-3463 Ph: (703) 860-4149 |
| NPI Number | 1972790376 |
|---|---|
| Provider Enumeration Date | 09/29/2007 |
| Last Update Date | 09/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972790376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401410411 (Virginia) | Primary |
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