Organization
TYSONS DENTAL SPA
Active
Other names
Tysons Dental Spa LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIE LAM DDS (OWNER)
(703) 714-7374
Entity
Organization
Contact information
Practice address
8300 BOONE BLVD STE 140, VIENNA, VA 22182-2626
(703) 714-7374
(703) 714-7376
Mailing address
8300 BOONE BLVD STE 140, VIENNA, VA 22182-2626
(703) 714-7374
(703) 714-7376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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