Organization
VIRGINA FAMILY AND COSMETIC DENTISTRY INC
Active
Parent organization
VIRGINA FAMILY AND COSMETIC DENTISTRY INC
Other names
Reston Town Center Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINA FAMILY AND COSMETIC DENTISTRY INC
Authorized official
DR. GHOLAMALI MIAMEE DDS (OWNER)
(703) 863-3255
Entity
Organization
Contact information
Practice address
1760 RESTON PKWY STE 415, RESTON, VA 20190-3360
(703) 956-9444
Mailing address
1760 RESTON PKWY STE 415, RESTON, VA 20190-3360
(703) 956-9444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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