| Tysons Dental Spa | |
|
8300 Boone Blvd Ste 140 Vienna VA 22182-2626 | |
| (703) 714-7374 | |
| (703) 714-7376 |
| Full Name | Tysons Dental Spa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8300 Boone Blvd Ste 140, Vienna, Virginia |
| Authorized Official Name and Position | Sylvie Lam (OWNER) |
| Authorized Official Contact | 7037147374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tysons Dental Spa 8300 Boone Blvd Ste 140 Vienna VA 22182-2626 Ph: (703) 714-7374 | Tysons Dental Spa 8300 Boone Blvd Ste 140 Vienna VA 22182-2626 Ph: (703) 714-7374 |
| NPI Number | 1619696754 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619696754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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