Organization
TYSONS DENTAL CORNER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHA ALATHARI (OFFICE MANAGER)
(703) 237-5600
Entity
Organization
Contact information
Practice address
7121 LEESBURG PIKE, SUITE#204, FALLS CHURCH, VA 22043-2361
(703) 237-5600
Mailing address
7121 LEESBURG PIKE, SUITE#204, FALLS CHURCH, VA 22043-2361
(703) 237-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401007991
VA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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