| Tysons Corner Endodontics | |
|
8150 Leesburg Pike Ste 502 Vienna VA 22182-2714 | |
| (703) 288-3299 | |
| (703) 288-3297 |
| Full Name | Tysons Corner Endodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8150 Leesburg Pike Ste 502, Vienna, Virginia |
| Authorized Official Name and Position | Brian Alexander Suh (DENTIST/OWNER) |
| Authorized Official Contact | 7032883299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tysons Corner Endodontics 8150 Leesburg Pike Ste 502 Vienna VA 22182-2714 Ph: (703) 288-3299 | Tysons Corner Endodontics 8150 Leesburg Pike Ste 502 Vienna VA 22182-2714 Ph: (703) 288-3299 |
| NPI Number | 1770362295 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770362295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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