Individual
DR. TANYA DEE MOUCHAHOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
307 MAPLE AVE W, SUITE A, VIENNA, VA 22180-4307
(703) 281-7104
Mailing address
43341 ROYAL BURKEDALE ST, SOUTH RIDING, VA 20152-1781
(703) 327-0670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410521
VA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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