NPI Provider: 1366876856
Contact Name: KEBAISH S ADEL
Position: OWNER
Phone: (703) 506-4700
Tysons Dental Care Pllc Information:
Tysons Dental Care Pllc organization have npi 1366876856, taxonomy code is 122300000X with license number is 401412828 in . This Business address located in 7787 LEESBURG PIKE #2, FALLS CHURCH, VA 22043 Virginia.
Practice Location
Address: 7787 LEESBURG PIKE #2, FALLS CHURCH, VA 22043
Phone: (703) 506-4700
Business Location
Address: 7787 LEESBURG PIKE #2, FALLS CHURCH, VA 22043
Phone: (703) 506-4700
Fax: (703) 734-1172
Taxonomy
Taxonomy Code: 122300000X
License Number: 401412828
License Number of State: VA
Primary Taxonomy Switch: Y
Enumeration Date: 9/3/13
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