Organization
TAEL LASER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRISON V MORIN M.D. (CEO)
(540) 313-8976
Entity
Organization
Contact information
Practice address
158 FRONT ROYAL PIKE, SUITE 108, WINCHESTER, VA 22602-4346
(540) 313-8976
Mailing address
158 FRONT ROYAL PIKE, SUITE 108, WINCHESTER, VA 22602-4346
(540) 313-8976
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0101237343
VA
Other
Enumeration date
07/01/2015
Last updated
07/16/2015
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