| NPI | 1114394855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH GRIMM President 703-534-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410593) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-09-15 |