Organization
PEDIATRIC DENTISTRY OF TYSONS CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE LIN BAVEJA D.D.S (PEDIATRIC DENTIST)
(703) 349-9038
Entity
Organization
Contact information
Practice address
2038 MEADOW SPRINGS DR, VIENNA, VA 22182-3771
(703) 349-9038
Mailing address
8296 OLD COURTHOUSE RD STE A, VIENNA, VA 22182-3852
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
401412085
VA
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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