Organization
TMJ BREATHE SLEEP AND POSTURE SYSTEM LLC
Active
Other names
TMJ Sleep and Breathe Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BACON (OFFICE ADMINISTRATOR)
(703) 712-1053
Entity
Organization
Contact information
Practice address
301 MAPLE AVE W STE 330, VIENNA, VA 22180-4301
(703) 712-1053
Mailing address
301 MAPLE AVE W STE 330, VIENNA, VA 22180-4301
(703) 712-1053
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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