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SANAE BOUALLALI BERRADA NPI 1689009961


NPI Information

NPI: 1689009961
Provider Name: SANAE BOUALLALI BERRADA

Doing Business As: TYSONS DENTAL ESTHETICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7641 LEESBURG PIKE
FALLS CHURCH, VA
ZIP 22043
Phone: (703) 821-8111
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SANAE BOUALLALI BERRADA is a general practice dentist in Falls Church, VA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SANAE BOUALLALI BERRADA NPI is 1689009961. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tysons Dental Esthetics.

The provider's business location address is:

7641 LEESBURG PIKE
FALLS CHURCH, VA
ZIP 22043-520
Phone: (703) 821-8111
Fax: (703) 821-1512

The provider's authorized official is Sanae Berrada .
The authorized official title is Owner and has the following contact phone number (703) 821-8111.

The enumeration date for this NPI number is 9/5/2013 and was last updated on 9/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401411776VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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