NPI | 1063687879 |
---|---|
Entity Type | Organization |
Authorized Contact | QUYEN NGOC DANG President 703-573-1313 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410698) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |