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Organization

FOXCHASE DENTAL GROUP, PC

Active
Other names
Foxchase Dental Group
Organization subpart
No

Provider details

NPI number
Authorized official
ALI SHAHRESTANI DMD (OWNER)
(571) 899-5094
Entity
Organization

Contact information

Practice address
4607 DUKE ST UNIT 19A, ALEXANDRIA, VA 22304-2505
(571) 899-5094
(571) 919-2648
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
01/31/2022
Last updated
01/31/2022
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