| NPI | 1023555760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO TOMAS CARLOS President 703-534-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 887) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |