Organization
RESTON ORAL AND FACIAL SURGERY PLLC
Active
Organization
RESTON ORAL AND FACIAL SURGERY PLLC
Active
Other names
Virginia Advanced Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUNNY KIM (ADMINISTRATOR)
(703) 774-6856
Entity
Organization
Contact information
Practice address
1890 PRESTON WHITE DR STE 100, RESTON, VA 20191-5430
(571) 595-3223
Mailing address
1890 PRESTON WHITE DR STE 100, RESTON, VA 20191-5430
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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