| Reston Serenity Smiles | |
|
11717 Bowman Green Dr Reston VA 20190-3501 | |
| (571) 313-8415 | |
| (571) 313-0539 |
| Full Name | Reston Serenity Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11717 Bowman Green Dr, Reston, Virginia |
| Authorized Official Name and Position | Majid Dastgir (DENTIST/OWNER) |
| Authorized Official Contact | 5713138415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reston Serenity Smiles 11717 Bowman Green Dr Reston VA 20190-3501 Ph: (571) 313-8415 | Reston Serenity Smiles 11717 Bowman Green Dr Reston VA 20190-3501 Ph: (571) 313-8415 |
| NPI Number | 1386462927 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386462927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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