| NPI | 1003088030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARIANA TUNG Member 703-913-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410797) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |