Springfield Modern Dentistry, PC
NPI #1396467965 in Springfield, Virginia
Provider Information
- NPI Number
- 1396467965
- Entity Type
- Organization
- Organization Name
- Springfield Modern Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 12, 2022
- Last Updated
- Sep 12, 2022
Practice Location
- Address
- 8404 OLD KEENE MILL RD
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22152-2302
- Phone
- (571) 350-3556
Authorized Official
- Name
- ALI SHAHRESTANI, DMD
- Title
- OWNER DOCTOR
- Phone
- (571) 350-3556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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