| Aglow Dental PLLC | |
|
11150 Sunset Hills Rd Ste 303 Reston VA 20190-5335 | |
| (703) 651-6130 | |
| Not Available |
| Full Name | Aglow Dental PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11150 Sunset Hills Rd Ste 303, Reston, Virginia |
| Authorized Official Name and Position | Rosemary Ahanor (OWNER) |
| Authorized Official Contact | 7036516130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aglow Dental PLLC 11150 Sunset Hills Rd Ste 303 Reston VA 20190-5335 | Aglow Dental PLLC 11150 Sunset Hills Rd Ste 303 Reston VA 20190-5335 Ph: (703) 651-6130 |
| NPI Number | 1295374734 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 02/02/2020 |
| Certification Date | 02/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295374734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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