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Organization
RESTON SUNRISE DENTISTRY, PC
Active
Organization
RESTON SUNRISE DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANAH HANH PHAM D.D.S. (PRESIDENT)
(703) 860-4149
Entity
Organization
Contact information
Practice address
12359 SUNRISE VALLEY DR STE 330, RESTON, VA 20191-3463
(703) 860-4149
Mailing address
12359 SUNRISE VALLEY DR STE 330, RESTON, VA 20191-3463
(703) 860-4149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410411
VA
Other
Enumeration date
09/29/2007
Last updated
09/29/2007
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