| NPI | 1619696754 |
|---|---|
| Doing Business As | TYSONS DENTAL SPA LLC |
| Entity Type | Organization |
| Authorized Contact | SYLVIE LAM Owner 703-714-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |