| NPI | 1629617501 |
|---|---|
| Doing Business As | TYSONS AESTHETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HAMADA MAKARITA Owner President 703-532-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2019-12-24 |