Organization · Type 2 NPI
Tysons Dental Spa
Dental Clinic/Center · Vienna, VA
NPI number
1619696754
Active
Practice location
8300 Boone Blvd Ste 140
Vienna, VA 22182-2626
Fax (703) 714-7376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1619696754
Tysons Dental Spa's National Provider Identifier is 1619696754, issued on Aug 23, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vienna, VA. The record was last updated on Aug 23, 2022.