Organization · Type 2 NPI
TJB of Dulles, LLC
Dental Clinic/Center · Dulles, VA
NPI number
1457720302
Active
Practice location
24565 Dulles Landing Dr, Suite 190
Dulles, VA 20166-2612
Fax (703) 754-1694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401007652 (VA) |
| Dental Clinic/Center | 261QD0000X | 0401410720 (VA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1457720302
TJB of Dulles, LLC's National Provider Identifier is 1457720302, issued on Sep 22, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dulles, VA. The record was last updated on Sep 22, 2015.