# TYSONS DENTAL CORNER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053853341
- **Authorized official:** RASHA ALATHARI (OFFICE MANAGER)
- **Authorized official phone:** (703) 237-5600

## Contact information

- **Practice address:** 7121 LEESBURG PIKE, SUITE\#204, FALLS CHURCH, VA 22043-2361
- **Practice address phone:** (703) 237-5600
- **Mailing address:** 7121 LEESBURG PIKE, SUITE\#204, FALLS CHURCH, VA 22043-2361
- **Mailing address phone:** (703) 237-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401007991 | VA | Yes |

## Other

- **Enumeration date:** 11/17/2016
- **Last updated:** 11/17/2016