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Organization
FUSION DENTAL
Active
Organization
FUSION DENTAL
Active
Parent organization
RESTON DENTAL GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTON DENTAL GROUP, PC
Authorized official
JAIME BYERLY (DIRECTOR)
(202) 699-1027
Entity
Organization
Contact information
Practice address
11107 SUNSET HILLS RD STE 111, RESTON, VA 20190-5375
(703) 860-3200
Mailing address
11107 SUNSET HILLS RD STE 111, RESTON, VA 20190-5375
(703) 860-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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