| NPI | 1699326652 |
|---|---|
| Doing Business As | TYSONS DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | MEGHAN MOLINA Owner 859-913-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |