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Organization
TYSONS CORNER ADVANCED DENTAL CENTER PC
Active
Organization
TYSONS CORNER ADVANCED DENTAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN SAMI OSSEIVAN DDS MS MAGD (OWNER PRESIDENT)
(202) 460-2626
Entity
Organization
Contact information
Practice address
8150 LEESBURG PIKE, SUITE 900, VIENNA, VA 22182
(703) 288-4700
(703) 288-4242
Mailing address
8150 LEESBURG PIKE, SUITE 900, VIENNA, VA 22182
(703) 288-4700
(703) 288-4242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8173
VA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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