FAIRFAX MODERN DENTISTRY, PC

FAIRFAX, VA
NPI1174011191
Entity TypeOrganization
Authorized ContactALI SHAHRESTANI
Owner/Dmd
703-520-6376
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2018-04-25
Last Update Date2022-08-05
Business Address
FAIRFAX MODERN DENTISTRY, PC
11050 LEE HWY
FAIRFAX, VA 22030-5014
Phone number: 703-520-6376
Mailing Address
FAIRFAX MODERN DENTISTRY, PC
PO BOX 920050
DALLAS, TX 75392-0050
Phone number: 714-845-8280
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