DR. Mina Modaresi, DDS

NPI #1073626818 in Sterling, Virginia

Provider Information

NPI Number: 1073626818
Entity Type: Individual
Name: DR. Mina Modaresi, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 45985 REGAL PLZ
Address 2: SUITE 160
City: Sterling
State: Virginia
ZIP Code: 20165-6144
Phone: (703) 433-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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