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Organization

RESTON SUNRISE DENTISTRY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANAH HANH PHAM D.D.S. (PRESIDENT)
(703) 860-4149
Entity
Organization

Contact information

Practice address
12359 SUNRISE VALLEY DR STE 330, RESTON, VA 20191-3463
(703) 860-4149
Mailing address
12359 SUNRISE VALLEY DR STE 330, RESTON, VA 20191-3463
(703) 860-4149

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410411
VA

Other

Enumeration date
09/29/2007
Last updated
09/29/2007
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