| Reston Town Center Dental | |
|
1760 Reston Pkwy Ste 415 Reston VA 20190-3360 | |
| (703) 956-9444 | |
| Not Available |
| Full Name | Reston Town Center Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1760 Reston Pkwy Ste 415, Reston, Virginia |
| Authorized Official Name and Position | Gholamali Miamee (OWNER) |
| Authorized Official Contact | 7038633255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Town Center Dental 1760 Reston Pkwy Ste 415 Reston VA 20190-3360 Ph: (703) 956-9444 | Reston Town Center Dental 1760 Reston Pkwy Ste 415 Reston VA 20190-3360 Ph: (703) 956-9444 |
| NPI Number | 1326348350 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326348350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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