Organization
SANAE BOUALLALI BERRADA
Active
Other names
Tysons Dental Esthetics
Organization subpart
No
Provider details
NPI number
Authorized official
SANAE BERRADA DDS (OWNER)
(703) 821-8111
Entity
Organization
Contact information
Practice address
7641 LEESBURG PIKE, FALLS CHURCH, VA 22043-2520
(703) 821-8111
(703) 821-1512
Mailing address
7641 LEESBURG PIKE, FALLS CHURCH, VA 22043-2520
(703) 821-8111
(703) 821-1512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411776
VA
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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