| NPI | 1326348350 |
|---|---|
| Doing Business As | RESTON TOWN CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | GHOLAMALI MIAMEE Owner 703-863-3255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |