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Organization
MOUNT VERNON MODERN DENTISTRY, PC
Active
Organization
MOUNT VERNON MODERN DENTISTRY, PC
Active
Other names
Mount Vernon Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHAHRESTANI DMD (OWNER/DMD)
(703) 214-1924
Entity
Organization
Contact information
Practice address
7696 RICHMOND HWY STE D, ALEXANDRIA, VA 22306-2843
(703) 214-1924
(703) 214-1924
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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