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Organization
LUMEN DENTAL OF TYSONS CORNER LLC
Active
Organization
LUMEN DENTAL OF TYSONS CORNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMA RAOUFINIA DDS (MEMBER)
(703) 219-8575
Entity
Organization
Contact information
Practice address
8300 GREENSBORO DR, ST 160A, MC LEAN, VA 22102-3605
(703) 219-8575
Mailing address
8300 GREENSBORO DR, MC LEAN, VA 22102-3605
(703) 219-8575
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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