Organization
IRIS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAWSAN ABOUSY (OWNER)
(703) 865-8457
Entity
Organization
Contact information
Practice address
305 MAPLE AVE W, SUITE E., VIENNA, VA 22180-4306
(703) 865-8455
Mailing address
305 MAPLE AVE W, SUITE E., VIENNA, VA 22180-4306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008611
VA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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