| NPI | 1043563133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA B RIOS Practice Administrator 703-421-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401008601) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |