Organization
RESTON DENTAL GROUP, PC
Active
Other names
Fusion Dental - Ashburn
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
20955 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3405
(703) 723-0014
(703) 723-0949
Mailing address
20955 PROFESSIONAL PLZ STE 110, ASHBURN, VA 20147-3405
(703) 723-0014
(703) 723-0949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MD
Other
Enumeration date
01/03/2007
Last updated
08/08/2022
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