| NPI | 1043324072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD HART EPSTEIN President 703-922-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006483) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-03-07 |