Tjb of Dulles, LLC

NPI #1457720302 in Dulles, Virginia

Provider Information

NPI Number
1457720302
Entity Type
Organization
Organization Name
Tjb of Dulles, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 22, 2015
Last Updated
Sep 22, 2015

Practice Location

Address
24565 DULLES LANDING DR
Address 2
SUITE 190
City
Dulles
ZIP Code
20166-2612
Phone
(703) 468-0188

Authorized Official

Name
KERRI NICHOLS
Title
REGIONAL DIRECTOR
Phone
(540) 494-8776

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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