Galleria Dental Aesthetics

NPI #1063898427 in Mc Lean, Virginia

Provider Information

NPI Number: 1063898427
Entity Type: Organization
Organization Name: Galleria Dental Aesthetics
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 7, 2015
Last Updated: Aug 7, 2015

Practice Location

Address: 1600 TYSONS BLVD
Address 2: SUITE 120
City: Mc Lean
State: Virginia
ZIP Code: 22102-4865
Phone: (703) 448-1020

Authorized Official

Name: CHONG LEE, DDS
Title: OWNER
Phone: (703) 448-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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