| Tysons Corner Dental Pc, | |
|
8308 Old Courthouse Rd Ste D Vienna VA 22182-3863 | |
| (571) 378-0032 | |
| Not Available |
| Full Name | Tysons Corner Dental Pc, |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8308 Old Courthouse Rd Ste D, Vienna, Virginia |
| Authorized Official Name and Position | Young Hoon Kim (DIRECTOR/ PRESIDENT) |
| Authorized Official Contact | 5713780032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tysons Corner Dental Pc, 8308 Old Courthouse Rd Ste D Vienna VA 22182-3863 Ph: (571) 378-0032 | Tysons Corner Dental Pc, 8308 Old Courthouse Rd Ste D Vienna VA 22182-3863 Ph: (571) 378-0032 |
| NPI Number | 1346091907 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346091907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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