Organization
MIRA DENTAL AT TYSONS CORNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKHIL SAHA (MEDICAL CLAIM SPECIALIST)
(908) 533-4386
Entity
Organization
Contact information
Practice address
8201 GREENSBORO DR STE 710, MC LEAN, VA 22102-3818
(571) 633-9455
Mailing address
8201 GREENSBORO DR STE 710, MC LEAN, VA 22102-3818
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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