| NPI | 1891068268 |
|---|---|
| Doing Business As | TYSONS ORTHODONTIC CARE |
| Entity Type | Organization |
| Authorized Contact | PHU LE President 202-257-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: VA 0401411700) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |