Lumen Dental of Tysons Corner LLC

NPI #1720949191 in Mc Lean, Virginia

Provider Information

NPI Number: 1720949191
Entity Type: Organization
Organization Name: Lumen Dental of Tysons Corner LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 24, 2025
Last Updated: Nov 24, 2025

Practice Location

Address: 8300 GREENSBORO DR
Address 2: ST 160A
City: Mc Lean
State: Virginia
ZIP Code: 22102-3605
Phone: (703) 219-8575

Authorized Official

Name: NIMA RAOUFINIA, DDS
Title: MEMBER
Phone: (703) 219-8575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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