| NPI | 1265884423 |
|---|---|
| Doing Business As | RESTON FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALI MIAMEE President 571-423-7945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401412603) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: VA 0401412603) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |