Springfield Modern Dentistry, Pc | |
8404 Old Keene Mill Rd Springfield VA 22152-2302 | |
(571) 350-3556 | |
(571) 290-4715 |
Full Name | Springfield Modern Dentistry, Pc |
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Speciality | Dentist - General Practice |
Location | 8404 Old Keene Mill Rd, Springfield, Virginia |
Authorized Official Name and Position | Ali Shahrestani (OWNER DOCTOR) |
Authorized Official Contact | 5713503556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Springfield Modern Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Springfield Modern Dentistry, Pc 8404 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (571) 350-3556 |
NPI Number | 1396467965 |
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Provider Enumeration Date | 09/12/2022 |
Last Update Date | 09/12/2022 |
Identifier | Type | State | Issuer |
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1396467965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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