Mina Modaresi DDS PC

Dentist · Sterling, VA

Organization Active NPI

NPI number 1851675185

Practice location

45985 Regal PLZ
Suite 160
Sterling, VA 20165-6144
Phone
(703) 433-1122
Fax
(703) 433-0907

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NPI record

NPI
1851675185
Entity type
Organization (Type 2)
Enumeration date
October 5, 2011
Last updated
October 5, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401410066 VA

Authorized official

Name
Dr. Mina Modaresi, DDS
Title
President
Phone
(703) 433-1122

Other names

  • Regal Dental Care

About Mina Modaresi DDS PC

Mina Modaresi DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 45985 Regal PLZ, Suite 160, Sterling, VA 20165-6144. The NPI number 1851675185 was assigned on October 5, 2011 and the record was last updated on October 5, 2011.

Mina Modaresi DDS PC lists a license in the registry: #0401410066 (VA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Mina Modaresi, DDS, President.

Frequently asked questions

What is the NPI number of Mina Modaresi DDS PC?

The NPI number is 1851675185.

What is the phone number of Mina Modaresi DDS PC?

The phone number listed for the practice location is (703) 433-1122.

Where is Mina Modaresi DDS PC located?

45985 Regal PLZ, Suite 160, Sterling, VA 20165-6144.

What is the taxonomy code for Mina Modaresi DDS PC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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