NPI | 1104332295 |
---|---|
Doing Business As | PRINCE WILLIAM FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DANIEL DAFO Owner 703-382-6545 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401413934) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2017-12-27 |