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Organization
RESTON DENTAL GROUP, PC
Active
Organization
RESTON DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LYNN MOHAMMED (BUSINESS MANAGER)
(703) 860-3200
Entity
Organization
Contact information
Practice address
11107 SUNSET HILLS RD STE 111, RESTON, VA 20190-5481
(703) 860-3200
(703) 391-8228
Mailing address
11107 SUNSET HILLS RD STE 111, RESTON, VA 20190-5481
(703) 860-3200
(703) 391-8228
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
VA
Other
Enumeration date
11/08/2006
Last updated
04/13/2022
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