Reston Orthodontic Associates, Pllc

NPI #1487878690 in Reston, Virginia

Provider Information

NPI Number: 1487878690
Entity Type: Organization
Organization Name: Reston Orthodontic Associates, Pllc
Primary Specialty: Health Maintenance Organization
Enumeration Date: Apr 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1984 ISAAC NEWTON SQ W STE 200
City: Reston
State: Virginia
ZIP Code: 20190-5040
Phone: (703) 435-1500

Authorized Official

Name: MS. LUCY L MCCABE
Title: ADMINISTRATOR
Phone: (703) 719-5828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Maintenance Organization	302R00000X	Primary

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