| NPI | 1609953728 |
|---|---|
| Doing Business As | TYSONS DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER OSINOVSKY Director/ Practice Owner 703-848-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008877) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |