| NPI | 1760819551 |
|---|---|
| Doing Business As | TYSONS CORNER DENTISTS |
| Entity Type | Organization |
| Authorized Contact | IRINA EPSHTEYN Practice Administrator 703-848-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |