# VIRGINA FAMILY AND COSMETIC DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRGINA FAMILY AND COSMETIC DENTISTRY INC
- **Other names:** Reston Town Center Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326348350
- **Legal business name:** VIRGINA FAMILY AND COSMETIC DENTISTRY INC
- **Authorized official:** DR. GHOLAMALI MIAMEE DDS (OWNER)
- **Authorized official phone:** (703) 863-3255

## Contact information

- **Practice address:** 1760 RESTON PKWY STE 415, RESTON, VA 20190-3360
- **Practice address phone:** (703) 956-9444
- **Mailing address:** 1760 RESTON PKWY STE 415, RESTON, VA 20190-3360
- **Mailing address phone:** (703) 956-9444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 10/25/2010