| Tyson Orthodontics, PC | |
|
8133 Leesburg Pike Suite 150 Vienna VA 22182-2706 | |
| (571) 263-2822 | |
| Not Available |
| Full Name | Tyson Orthodontics, PC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8133 Leesburg Pike, Vienna, Virginia |
| Authorized Official Name and Position | Denise T Nguyen (PRESIDENT) |
| Authorized Official Contact | 5712632822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Orthodontics, PC 2307 Stryker Ave Vienna VA 22181-3123 Ph: (571) 263-2822 | Tyson Orthodontics, PC 8133 Leesburg Pike Suite 150 Vienna VA 22182-2706 Ph: (571) 263-2822 |
| NPI Number | 1871921528 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871921528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401007759 (Virginia) | Primary |
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