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1508512708
TYSONS MODERN DENTISTRY, PC
VIENNA, VA
NPI
1508512708
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Entity Type
Organization
Authorized Contact
ALI SHAHRESTANI
Owner
714-845-8500
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
TYSONS MODERN DENTISTRY, PC
8393 LEESBURG PIKE
VIENNA, VA 22182-2402
Phone number: 703-745-1797
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Mailing Address
TYSONS MODERN DENTISTRY, PC
PO BOX 920050
DALLAS, TX 75392-0050
Phone number:
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