| NPI | 1053582148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUYEN QUANG BUI Dentist 703-538-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410494) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |