| Tysons Corner Dentists | |
|
8110 Madrillon Ct Vienna VA 22182-3750 | |
| (703) 848-8889 | |
| Not Available |
| Full Name | Tysons Corner Dentists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8110 Madrillon Ct, Vienna, Virginia |
| Authorized Official Name and Position | Irina Epshteyn (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7038488889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tysons Corner Dentists 8296 Old Courthouse Rd A Vienna VA 22182-3852 | Tysons Corner Dentists 8110 Madrillon Ct Vienna VA 22182-3750 Ph: (703) 848-8889 |
| NPI Number | 1760819551 |
|---|---|
| Provider Enumeration Date | 10/11/2013 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760819551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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