# BEYOND DENTAL PLLC

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

## Provider details

- **NPI number:** 1225819717
- **Authorized official:** JOOSANG LEE (OWNER)
- **Authorized official phone:** (808) 748-9608

## Contact information

- **Practice address:** 2435 MANDEVILLE LANE, SUITE 230, ALEXANDRIA, VA 22332
- **Practice address phone:** (808) 748-9608
- **Mailing address:** 2424 MILL RD APT 1002, ALEXANDRIA, VA 22314-5040
- **Mailing address phone:** (808) 748-9608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 10/10/2023