Organization
TYSON ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE T NGUYEN DDS (PRESIDENT)
(571) 263-2822
Entity
Organization
Contact information
Practice address
8133 LEESBURG PIKE, SUITE 150, VIENNA, VA 22182-2706
(571) 263-2822
Mailing address
2307 STRYKER AVE, VIENNA, VA 22181-3123
(571) 263-2822
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401007759
VA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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