Reston Dental Group, PC

NPI #1821155318 in Ashburn, Virginia

Provider Information

NPI Number: 1821155318
Entity Type: Organization
Organization Name: Reston Dental Group, PC
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2007
Last Updated: Aug 8, 2022

Practice Location

Address: 20955 PROFESSIONAL PLZ STE 110
City: Ashburn
State: Virginia
ZIP Code: 20147-3405
Phone: (703) 723-0014

Authorized Official

Name: HANNAH FISH
Title: CREDENTIALING MANAGER
Phone: (217) 540-5699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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