NPI | 1043595390 |
---|---|
Entity Type | Organization |
Authorized Contact | QUOC VO NGUYEN President 804-310-8372 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410892) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |