# MINA MODARESI DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Regal Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851675185
- **Authorized official:** DR. MINA MODARESI DDS (PRESIDENT)
- **Authorized official phone:** (703) 433-1122

## Contact information

- **Practice address:** 45985 REGAL PLZ, SUITE 160, STERLING, VA 20165-6144
- **Practice address phone:** (703) 433-1122
- **Practice address fax:** (703) 433-0907
- **Mailing address:** 45985 REGAL PLZ, SUITE 160, STERLING, VA 20165-6144
- **Mailing address phone:** (703) 433-1122
- **Mailing address fax:** (703) 433-0907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410066 | VA | Yes |

## Other

- **Enumeration date:** 10/05/2011
- **Last updated:** 10/05/2011