| Springfield Modern Dentistry | |
|
8404 Old Keene Mill Rd Springfield VA 22152-2302 | |
| (571) 350-3556 | |
| (571) 290-4715 |
| Full Name | Springfield Modern Dentistry |
|---|---|
| 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 |
|---|---|
| Springfield Modern Dentistry Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Springfield Modern Dentistry 8404 Old Keene Mill Rd Springfield VA 22152-2302 Ph: (571) 350-3556 |
| NPI Number | 1396467965 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396467965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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