Organization
MOUNT VERNON MODERN DENTISTRY, PC
Active
Other names
Mount Vernon Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHAHRESTANI DMD (OWNER/DMD)
(703) 214-1924
Entity
Organization
Contact information
Practice address
7696 RICHMOND HWY STE D, ALEXANDRIA, VA 22306-2843
(703) 214-1924
(703) 214-1924
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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