NPI | 1053871418 |
---|---|
Doing Business As | MAFFETT AND PARK DENTISTRY |
Entity Type | Organization |
Authorized Contact | HYANG MIN PARK Dmd 703-853-9480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-03-21 |
Last Update Date | 2019-03-21 |