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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