Organization
TYSONS DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL S KEBAISH M.D. (OWNER)
(703) 506-4700
Entity
Organization
Contact information
Practice address
7787 LEESBURG PIKE #2, FALLS CHURCH, VA 22043
(703) 506-4700
(703) 734-1172
Mailing address
7787 LEESBURG PIKE #2, FALLS CHURCH, VA 22043
(703) 506-4700
(703) 734-1172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412828
VA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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