| Reston Dental Group, Pc | |
|
20955 Professional Plz Ste 110 Ashburn VA 20147-3405 | |
| (703) 723-0014 | |
| (703) 723-0949 |
| Full Name | Reston Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 20955 Professional Plz Ste 110, Ashburn, Virginia |
| Authorized Official Name and Position | Hannah Fish (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Dental Group, Pc 20955 Professional Plz Ste 110 Ashburn VA 20147-3405 Ph: (703) 723-0014 | Reston Dental Group, Pc 20955 Professional Plz Ste 110 Ashburn VA 20147-3405 Ph: (703) 723-0014 |
| NPI Number | 1821155318 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821155318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Maryland) | Primary |
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