| NPI | 1073785382 |
|---|---|
| Doing Business As | CHANTILLY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DIEM THI NGUYEN President 703-467-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410421) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |