| NPI | 1033384839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY K NAM President 703-323-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410729) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |