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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