| NPI | 1104238955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JU-HAN CHANG Orthodontist/Owner 703-938-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413525) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |