# RESTON SUNRISE DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972790376
- **Authorized official:** DR. HANAH HANH PHAM D.D.S. (PRESIDENT)
- **Authorized official phone:** (703) 860-4149

## Contact information

- **Practice address:** 12359 SUNRISE VALLEY DR STE 330, RESTON, VA 20191-3463
- **Practice address phone:** (703) 860-4149
- **Mailing address:** 12359 SUNRISE VALLEY DR STE 330, RESTON, VA 20191-3463
- **Mailing address phone:** (703) 860-4149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410411 | VA | Yes |

## Other

- **Enumeration date:** 09/29/2007
- **Last updated:** 09/29/2007