| NPI | 1023411212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BARBOSA Office Manager 703-378-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412420) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |