Provider Demographics
NPI:1124199112
Name:PARASTOO GOLESTANI DDS PC
Entity Type:Organization
Organization Name:PARASTOO GOLESTANI DDS PC
Other - Org Name:STERLING DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARASTOO
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLESTANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-433-0234
Mailing Address - Street 1:21155 WHITFIELD PLACE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7277
Mailing Address - Country:US
Mailing Address - Phone:703-433-0234
Mailing Address - Fax:703-433-0598
Practice Address - Street 1:21155 WHITFIELD PLACE
Practice Address - Street 2:SUITE 104
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7277
Practice Address - Country:US
Practice Address - Phone:703-433-0234
Practice Address - Fax:703-433-0598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty