| NPI | 1396467965 |
|---|---|
| Doing Business As | SPRINGFIELD MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner Doctor 571-350-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |